This IG is for FHIR version 5.0.0, while the package 'hl7.fhir.uv.sdc#4.0.0' is for FHIR version 4.0.1
ImplementationGuide/hl7.cda.us.ccda
error
This IG is for FHIR version 5.0.0, while the package 'hl7.fhir.uv.extensions.r4#5.3.0-ballot-tc1' is for FHIR version 4.0.1
warning
The jira specification file appears to be out of date with the versions, artifacts and pages currently defined in the IG. A proposed revised file to be reviewed and, if appropriate, submitted as a pull request against the XML folder in https://github.com/HL7/JIRA-Spec-Artifacts. To see the differences, perform a file compare on 'template/jira-current.xml' (a normalized view of what is in Github) and 'template/jira-new.xml' (reflects current IG content)
Binary/admission-medication-example: act: Validated against this.Admission Medication
Path
Severity
Message
Validating
act (l1/c114)
error
Slice 'Act.entryRelationship:medicationActivity': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/AdmissionMedication|5.0.0-ballot). Note that other slices are allowed in addition to this required slice
Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are presentValidation_VAL_Profile_Minimum_SLICE
Slice 'Observation.value:coded': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/BasicIndustryObservation|5.0.0-ballot). Note that other slices are allowed in addition to this required slice
Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are presentValidation_VAL_Profile_Minimum_SLICE
Slice 'Observation.value:coded': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/BasicOccupationObservation|5.0.0-ballot). Note that other slices are allowed in addition to this required slice
Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are presentValidation_VAL_Profile_Minimum_SLICE
Observation.text.reference: minimum required = 1, but only found 0 (from http://hl7.org/cda/us/ccda/StructureDefinition/CareTeamMemberScheduleObservation|5.0.0-ballot)
Editor's Comment: v4-03 - Either we have an error for a reference that doesn't resolve or we have an error that the reference does not exist.Validation_VAL_Profile_Minimum
Binary/care-team-organizer-example: organizer: Validated against this.Care Team Organizer
Path
Severity
Message
Validating
organizer.code.originalText (l8/c17)
error
Organizer.code.originalText.reference: minimum required = 1, but only found 0 (from http://hl7.org/cda/us/ccda/StructureDefinition/CareTeamOrganizer|5.0.0-ballot)
Editor's Comment: v4-03 - Either we have an error for a reference that doesn't resolve or we have an error that the reference does not exist.Validation_VAL_Profile_Minimum
Binary/comment-activity-example: act: Validated against this.Comment Activity
Path
Severity
Message
Validating
act.text (l6/c9)
error
Act.text.reference: minimum required = 1, but only found 0 (from http://hl7.org/cda/us/ccda/StructureDefinition/CommentActivity|5.0.0-ballot)
Editor's Comment: v4-03 - Either we have an error for a reference that doesn't resolve or we have an error that the reference does not exist.Validation_VAL_Profile_Minimum
The concept 'NP' has a status of retired and its use should be reviewed; The concept 'NP' has a status of inactive and its use should be reviewedTERMINOLOGY_TX_WARNING
Binary/discharge-medication-example: act: Validated against this.Discharge Medication
Path
Severity
Message
Validating
act (l1/c114)
error
Slice 'Act.entryRelationship:medicationActivity': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/DischargeMedication|5.0.0-ballot). Note that other slices are allowed in addition to this required slice
Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are presentValidation_VAL_Profile_Minimum_SLICE
The concept 'NP' has a status of retired and its use should be reviewed; The concept 'NP' has a status of inactive and its use should be reviewedTERMINOLOGY_TX_WARNING
Slice 'Organizer.component:selfCare': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/FunctionalStatusOrganizer|5.0.0-ballot). Note that other slices are allowed in addition to this required slice
Editor's Comment: v5-05 - VSAC Value set definition has a modifier exception that is unknownValidation_VAL_Profile_Minimum_SLICE
The concept 'NP' has a status of retired and its use should be reviewed; The concept 'NP' has a status of inactive and its use should be reviewedTERMINOLOGY_TX_WARNING
The concept 'NP' has a status of retired and its use should be reviewed; The concept 'NP' has a status of inactive and its use should be reviewedTERMINOLOGY_TX_WARNING
The value provided ('C45329') was not found in the value set 'Implantable Device Status' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606), and a code is required from this value set (error message = The provided code 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C45329' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606')
Editor's Comment: v5-03 - Codes from NCI Thesaurus that are not in the code system fragment on tx.fhir.org but have been verified to be in the code system (from server, see log, or see the servers logic) Terminology_TX_NoValid_16
0ms tx-op
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606: Analysing http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606 for validation purposes
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606: Parameters: http-lang=en, disp-lang=en-US, generate-narrative, default-to-latest
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606: Version Rules: default:http://snomed.info/sct#http://snomed.info/sct/731000124108
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606: Prepare include[0]: "(http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl)(C114146,C118639,C122711,C154407,C45329)"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606: CodeSystem found: "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl|null"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606: Validate "[undefined#C45329 ("undefined")]" and infer system
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606: Check "undefined#C45329"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606: Inferred CodeSystem = "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606: CodeSystem found: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl|null for http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606: check code in (http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl)(C114146,C118639,C122711,C154407,C45329) at
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606: Code "C45329" in concept list, but not found in http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl|null: undefined
Observation.effectiveTime: minimum required = 1, but only found 0 (from http://hl7.org/cda/us/ccda/StructureDefinition/InterpreterNeededObservation|5.0.0-ballot)Validation_VAL_Profile_Minimum
Value is '89187-7' but is fixed to '54588-9' in the profile http://hl7.org/cda/us/ccda/StructureDefinition/InterpreterNeededObservation|5.0.0-ballot#Observation.code.code_DT_Fixed_Wrong
None of the codings provided are in the value set 'Answer Set with Yes No and Unknowns' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005), and a coding from this value set is required) (codes = http://snomed.info/sct#171044003) (from server, see log, or see the servers logic) Terminology_TX_NoValid_1_CC
0ms tx-op
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005: Analysing http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005 for validation purposes
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005: Parameters: http-lang=en, disp-lang=en-US, generate-narrative, default-to-latest
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005: Version Rules: default:http://snomed.info/sct#http://snomed.info/sct/731000124108
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005: Prepare include[0]: "(^http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.14)"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.14|20241004: Analysing http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.14|20241004 for validation purposes
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.14|20241004: Prepare include[0]: "(http://terminology.hl7.org/CodeSystem/data-absent-reason)(asked-unknown,unknown)"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.14|20241004: CodeSystem found: "http://terminology.hl7.org/CodeSystem/data-absent-reason|1.0.0"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005: Prepare include[1]: "(^http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.15)"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.15|20241004: Analysing http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.15|20241004 for validation purposes
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.15|20241004: Prepare include[0]: "(http://snomed.info/sct)(373066001,373067005)"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.15|20241004: CodeSystem found: "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250901"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005: Validate "[http://snomed.info/sct#171044003 ("immunization education")]"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005: Check "http://snomed.info/sct#171044003"
1ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005: Check included value set http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.14
1ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.14|20241004: Check "http://snomed.info/sct#171044003"
1ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005: Check included value set http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.15
1ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.15|20241004: Check "http://snomed.info/sct#171044003"
1ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.15|20241004: CodeSystem found: http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250901 for http://snomed.info/sct|http://snomed.info/sct/731000124108
1ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.15|20241004: check code in (http://snomed.info/sct)(373066001,373067005) at CodeableConcept.coding[0]
The concept 'NP' has a status of retired and its use should be reviewed; The concept 'NP' has a status of inactive and its use should be reviewedTERMINOLOGY_TX_WARNING
Binary/latex-safety-observation-example: observation: Validated against this.Latex Safety Observation
Path
Severity
Message
Validating
observation.value[0].code (l9/c94)
error
The value provided ('C106038') was not found in the value set 'Device Latex Safety' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606), and a code is required from this value set (error message = The provided code 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C106038' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606')
Editor's Comment: v5-03 - Codes from NCI Thesaurus that are not in the code system fragment on tx.fhir.org but have been verified to be in the code system (from server, see log, or see the servers logic) Terminology_TX_NoValid_16
0ms tx-op
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606: Analysing http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606 for validation purposes
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606: Parameters: http-lang=en, disp-lang=en-US, generate-narrative, default-to-latest
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606: Version Rules: default:http://snomed.info/sct#http://snomed.info/sct/731000124108
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606: Prepare include[0]: "(http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl)(C101673,C106038,C106043)"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606: CodeSystem found: "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl|null"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606: Validate "[undefined#C106038 ("undefined")]" and infer system
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606: Check "undefined#C106038"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606: Inferred CodeSystem = "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606: CodeSystem found: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl|null for http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606: check code in (http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl)(C101673,C106038,C106043) at
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606: Code "C106038" in concept list, but not found in http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl|null: undefined
Binary/medication-activity-example: substanceAdministration: Validated against this.Medication Activity
Path
Severity
Message
Validating
substanceAdministration (l1/c136)
error
Slice 'SubstanceAdministration.effectiveTime:duration': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity|5.0.0-ballot). Note that other slices are allowed in addition to this required slice
Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are presentValidation_VAL_Profile_Minimum_SLICE
Binary/medication-free-text-sig-example: substanceAdministration: Validated against this.Medication Free Text Sig
Path
Severity
Message
Validating
substanceAdministration.text (l8/c9)
error
SubstanceAdministration.text.reference: minimum required = 1, but only found 0 (from http://hl7.org/cda/us/ccda/StructureDefinition/MedicationFreeTextSig|5.0.0-ballot)
Editor's Comment: v4-03 - Either we have an error for a reference that doesn't resolve or we have an error that the reference does not exist.Validation_VAL_Profile_Minimum
Observation.effectiveTime: minimum required = 1, but only found 0 (from http://hl7.org/cda/us/ccda/StructureDefinition/InterpreterNeededObservation|5.0.0-ballot)Validation_VAL_Profile_Minimum
Value is '89187-7' but is fixed to '54588-9' in the profile http://hl7.org/cda/us/ccda/StructureDefinition/InterpreterNeededObservation|5.0.0-ballot#Observation.code.code_DT_Fixed_Wrong
None of the codings provided are in the value set 'Answer Set with Yes No and Unknowns' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005), and a coding from this value set is required) (codes = http://snomed.info/sct#171044003) (from server, see log, or see the servers logic) Terminology_TX_NoValid_1_CC
0ms tx-op
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005: Analysing http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005 for validation purposes
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005: Parameters: http-lang=en, disp-lang=en-US, generate-narrative, default-to-latest
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005: Version Rules: default:http://snomed.info/sct#http://snomed.info/sct/731000124108
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005: Prepare include[0]: "(^http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.14)"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.14|20241004: Analysing http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.14|20241004 for validation purposes
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.14|20241004: Prepare include[0]: "(http://terminology.hl7.org/CodeSystem/data-absent-reason)(asked-unknown,unknown)"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.14|20241004: CodeSystem found: "http://terminology.hl7.org/CodeSystem/data-absent-reason|1.0.0"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005: Prepare include[1]: "(^http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.15)"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.15|20241004: Analysing http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.15|20241004 for validation purposes
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.15|20241004: Prepare include[0]: "(http://snomed.info/sct)(373066001,373067005)"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.15|20241004: CodeSystem found: "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250901"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005: Validate "[http://snomed.info/sct#171044003 ("immunization education")]"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005: Check "http://snomed.info/sct#171044003"
1ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005: Check included value set http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.14
1ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.14|20241004: Check "http://snomed.info/sct#171044003"
1ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005: Check included value set http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.15
1ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.15|20241004: Check "http://snomed.info/sct#171044003"
1ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.15|20241004: CodeSystem found: http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250901 for http://snomed.info/sct|http://snomed.info/sct/731000124108
1ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.15|20241004: check code in (http://snomed.info/sct)(373066001,373067005) at CodeableConcept.coding[0]
Binary/mental-status-section-example: section: Validated against this.Mental Status Section
Path
Severity
Message
Validating
section.text (l6/c9)
error
Elements of type caption must be in a table, not a li at text/ul/li/caption
Editor's Comment: v5-07 - Publisher code that converts CDA text style tags to HTML tags is not handing captions in lists properlyXHTML_XHTML_OUT_OF_PLACE
Binary/mri-safety-observation-example: observation: Validated against this.MRI Safety Observation
Path
Severity
Message
Validating
observation.value[0].code (l7/c92)
error
The value provided ('C113844') was not found in the value set 'Device Magnetic resonance (MR) Safety' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606), and a code is required from this value set (error message = The provided code 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C113844' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606')
Editor's Comment: v5-03 - Codes from NCI Thesaurus that are not in the code system fragment on tx.fhir.org but have been verified to be in the code system (from server, see log, or see the servers logic) Terminology_TX_NoValid_16
0ms tx-op
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606: Analysing http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606 for validation purposes
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606: Parameters: http-lang=en, disp-lang=en-US, generate-narrative, default-to-latest
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606: Version Rules: default:http://snomed.info/sct#http://snomed.info/sct/731000124108
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606: Prepare include[0]: "(http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl)(C106045,C106046,C106047,C113844)"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606: CodeSystem found: "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl|null"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606: Validate "[undefined#C113844 ("undefined")]" and infer system
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606: Check "undefined#C113844"
0ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606: Inferred CodeSystem = "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl"
1ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606: CodeSystem found: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl|null for http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
1ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606: check code in (http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl)(C106045,C106046,C106047,C113844) at
1ms http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606: Code "C113844" in concept list, but not found in http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl|null: undefined
Binary/no-known-medications-example: substanceAdministration: Validated against this.Medication Activity
Path
Severity
Message
Validating
substanceAdministration (l1/c155)
error
Slice 'SubstanceAdministration.effectiveTime:duration': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity|5.0.0-ballot). Note that other slices are allowed in addition to this required slice
Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are presentValidation_VAL_Profile_Minimum_SLICE
The concept 'NP' has a status of retired and its use should be reviewed; The concept 'NP' has a status of inactive and its use should be reviewedTERMINOLOGY_TX_WARNING
The concept 'NP' has a status of retired and its use should be reviewed; The concept 'NP' has a status of inactive and its use should be reviewedTERMINOLOGY_TX_WARNING
The concept 'NP' has a status of retired and its use should be reviewed; The concept 'NP' has a status of inactive and its use should be reviewedTERMINOLOGY_TX_WARNING
Binary/planned-medication-activity-example: substanceAdministration: Validated against this.Planned Medication Activity
Path
Severity
Message
Validating
substanceAdministration (l1/c136)
error
Slice 'SubstanceAdministration.effectiveTime:duration': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/PlannedMedicationActivity|5.0.0-ballot). Note that other slices are allowed in addition to this required slice
Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are presentValidation_VAL_Profile_Minimum_SLICE
The concept 'NP' has a status of retired and its use should be reviewed; The concept 'NP' has a status of inactive and its use should be reviewedTERMINOLOGY_TX_WARNING
Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.46|20240606 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifier (from https://tx.fhir.org/r5, see log)
Binary/smoking-status-coded-example: observation: Validated against this.Smoking Status
Path
Severity
Message
Validating
observation.value[0] (l16/c130)
error
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatus|5.0.0-ballot and slicing is CLOSED: observation.value[0]: Does not match slice 'packYears' (discriminator: ($this is CDA.REAL)), observation.value[0]: Does not match slice 'coded' (discriminator: ($this is CDA.CD))
Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are presentValidation_VAL_Profile_NotSlice
Binary/smoking-status-quantity-example: observation: Validated against this.Smoking Status
Path
Severity
Message
Validating
observation.value[0] (l11/c41)
error
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatus|5.0.0-ballot and slicing is CLOSED: observation.value[0]: Does not match slice 'packYears' (discriminator: ($this is CDA.REAL)), observation.value[0]: Does not match slice 'coded' (discriminator: ($this is CDA.CD))
Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are presentValidation_VAL_Profile_NotSlice
Slice 'Observation.value:coded': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/TribalAffiliationObservation|5.0.0-ballot). Note that other slices are allowed in addition to this required slice
Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are presentValidation_VAL_Profile_Minimum_SLICE
Unable to resolve resource with reference 'Binary/care-plan-complete-example'
Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve referenceReference_REF_CantResolve
Unable to resolve resource with reference 'Binary/ccd-header-example'
Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve referenceReference_REF_CantResolve
Unable to resolve resource with reference 'Binary/consultation-note-complete-example'
Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve referenceReference_REF_CantResolve
Unable to resolve resource with reference 'Binary/discharge-summary-header-example'
Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve referenceReference_REF_CantResolve
Unable to resolve resource with reference 'Binary/history-and-physical-header-example'
Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve referenceReference_REF_CantResolve
Unable to resolve resource with reference 'Binary/operative-note-header-example'
Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve referenceReference_REF_CantResolve
Unable to resolve resource with reference 'Binary/patient-generated-document-informationrecipient'
Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve referenceReference_REF_CantResolve
Unable to resolve resource with reference 'Binary/procedure-note-header-example'
Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve referenceReference_REF_CantResolve
Unable to resolve resource with reference 'Binary/progress-note-header-example'
Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve referenceReference_REF_CantResolve
Unable to resolve resource with reference 'Binary/referral-note-header-example'
Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve referenceReference_REF_CantResolve
Unable to resolve resource with reference 'Binary/transfer-summary-header-example'
Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve referenceReference_REF_CantResolve
Unable to resolve resource with reference 'Binary/us-realm-header-race-translation-example'
Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve referenceReference_REF_CantResolve
Unable to resolve resource with reference 'Binary/us-realm-header-example'
Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve referenceReference_REF_CantResolve
04 Inherent collections where collection is limited to a single value so the warning is fine
%The left side is inherently a collection, and so the expression 'item.country.xmlText% (8 uses)
%The left side is inherently a collection, and so the expression 'value.code% (1 uses)
%The left side is inherently a collection, and so the expression 'value.unit% (8 uses)
05 Deprecated value set that is used by CDA and inherited by C-CDA
Reference to deprecated ValueSet http://hl7.org/fhir/ValueSet/jurisdiction|5.0.0 (230 uses)
06 xsi:type information - firing on templates with constrained type, but still required in CDA
xsi:type is unnecessary at this point (68 uses)
08 Each slice is optional, so the maximum still applies
The slice definition for Observation.value has a maximum of 1 but the slices add up to a maximum of 2. Check that this is what is intended (4 uses)
11 These are template IDs that are embedded in other templates and are not an individual template. The validator can not find these templates and warns us about them.
The CDA Template 2.16.840.1.113883.10.20.1.58 is not known (3 uses)
The CDA Template 2.16.840.1.113883.10.20.21.3.1 is not known (2 uses)
The CDA Template 2.16.840.1.113883.10.20.22.4.87 is not known (3 uses)
The CDA Template 2.16.840.1.113883.10.20.22.4.88 is not known (1 uses)
The CDA Template 2.16.840.1.113883.10.20.22.4.89 is not known (3 uses)
The CDA Template 2.16.840.1.113883.10.20.22.4.90 is not known (1 uses)
12 Our examples may not enforce the text references
14 Multiple template IDs are required so the validator throws a warning on the slices
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectivesSection% (1 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/AllergiesAndIntolerancesSection% (1 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/DisabilityStatusObservation% (1 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/MentalStatusSection% (1 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation% (1 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/ProblemSection% (1 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/ResultsSection% (1 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/SensoryStatus% (1 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistoryObservation% (6 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/SubstanceOrDeviceAllergyIntoleranceObservation% (3 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader% (13 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/VitalSignsSection% (2 uses)
15 In the example the OID matches two different code systems - nothing we can do about this in the guide itself.
The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate (76 uses)
16 Assigned Author slices that are detected multiple times
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/ContinuityofCareDocumentCCD% (1 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/DischargeSummary% (1 uses)
17 An extra element not specified by the template
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/GoalObservation% (3 uses)
18 Note Activity is not a defined slice in the template but can be included
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/ProceduresSection% (3 uses)
19 Goal Observation is not a defined slice in the template but can be included
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/OutcomeObservation% (1 uses)
20 Template requires a retired code
The concept 'NP' has a status of retired and its use should be reviewed (9 uses)
21 Unknown code systems used in examples
The OID '2.16.840.1.113883.1.11.19563' is not known, so the code can't be validated (7 uses)
The OID '2.16.840.1.113883.12.112' is not known, so the code can't be validated (1 uses)
The OID '2.16.840.1.113883.6.255.1336' is not known, so the code can't be validated (1 uses)
22 Different example code systems that have no codes so can not be validated
A definition for CodeSystem 'https://nahdo.org/sopt' could not be found, so the code cannot be validated (6 uses)
A definition for CodeSystem 'https://www.nubc.org/CodeSystem/PatDischargeStatus' could not be found, so the code cannot be validated% (2 uses)
A definition for CodeSystem 'urn:oid:2.16.840.1.113883.12.112' could not be found, so the code cannot be validated (1 uses)
A definition for CodeSystem 'urn:oid:2.16.840.1.113883.6.255.1336' could not be found, so the code cannot be validated (1 uses)
23 SHOULD constraints that we are intentionally not including
%1098-7513% (3 uses)
%4537-10007% (1 uses)
%should-addr% (3 uses)
%should-assignedPerson% (1 uses)
%should-care-team-org% (1 uses)
%should-effectiveTime% (2 uses)
%should-entry% (1 uses)
%should-health-status-obs% (1 uses)
%should-id-npi% (2 uses)
%should-legalAuthenticator% (1 uses)
%should-maritalStatusCode% (1 uses)
%should-npi% (15 uses)
%should-nutritional-status-obs% (2 uses)
%should-otext-ref-value% (6 uses)
%should-performer% (1 uses)
%should-post-procedure-dx% (1 uses)
%should-preop-dx% (1 uses)
%should-procedure-act-procedure% (1 uses)
%should-proficiencyLevelCode% (1 uses)
%should-relatedParticipant% (8 uses)
%should-responsibleParty% (6 uses)
%should-routeCode% (1 uses)
%should-section-advance-directives% (1 uses)
%should-section-discharge-dx% (1 uses)
%should-section-functional-status% (1 uses)
%should-section-hpi% (1 uses)
%should-section-mental-status% (1 uses)
%should-section-nutrition% (1 uses)
%should-section-plan-of-treatment% (1 uses)
%should-section-procedures% (2 uses)
%should-smoking-status% (3 uses)
%should-targetSiteCode% (1 uses)
%should-telecom% (3 uses)
%should-time% (1 uses)
%should-translation% (1 uses)
%should-us-code% (2 uses)
%should-use% (3 uses)
%should-value% (2 uses)
%ts-should-minute% (7 uses)
24 ERROR - our examples use an element that makes sense but does not match the actual datatype name
The QName 'urn:hl7-org:v3::addr' does not match the expected QName 'urn:hl7-org:v3::AD' (1 uses)
The QName 'urn:hl7-org:v3::effectiveTime' does not match the expected QName 'urn:hl7-org:v3::IVL_TS' (1 uses)
The QName 'urn:hl7-org:v3::time' does not match the expected QName 'urn:hl7-org:v3::TS' (1 uses)
25 ERROR the full document examples are there and do get validated but the validator is unable to resolve reference
Unable to resolve resource with reference 'Binary/care-plan-complete-example' (1 uses)
Unable to resolve resource with reference 'Binary/ccd-header-example' (1 uses)
Unable to resolve resource with reference 'Binary/consultation-note-complete-example' (1 uses)
Unable to resolve resource with reference 'Binary/discharge-summary-header-example' (1 uses)
Unable to resolve resource with reference 'Binary/history-and-physical-header-example' (1 uses)
Unable to resolve resource with reference 'Binary/operative-note-header-example' (1 uses)
Unable to resolve resource with reference 'Binary/patient-generated-document-informationrecipient' (1 uses)
Unable to resolve resource with reference 'Binary/procedure-note-header-example' (1 uses)
Unable to resolve resource with reference 'Binary/progress-note-header-example' (1 uses)
Unable to resolve resource with reference 'Binary/referral-note-header-example' (1 uses)
Unable to resolve resource with reference 'Binary/transfer-summary-header-example' (1 uses)
Unable to resolve resource with reference 'Binary/us-realm-header-example' (1 uses)
Unable to resolve resource with reference 'Binary/us-realm-header-race-translation-example' (1 uses)
27 Duplicate anchor ids produced by publisher - see if this can be fixed in a future release of the template
The html source has duplicate anchor Ids:% (230 uses)
28 Experimental value sets in THO
The definition for the element 'Act.code.translation' binds to the value set 'http://hl7.org/fhir/ValueSet/care-plan-category' which is experimental, but this structure is not labeled as experimental (2 uses)
The definition for the element 'Act.participant.participantRole.sdtcSpecialty' binds to the value set 'http://hl7.org/fhir/ValueSet/c80-practice-codes' which is experimental, but this structure is not labeled as experimental (4 uses)
The definition for the element 'Act.performer.assignedEntity.sdtcSpecialty' binds to the value set 'http://hl7.org/fhir/ValueSet/c80-practice-codes' which is experimental, but this structure is not labeled as experimental (2 uses)
The definition for the element 'Author.assignedAuthor.sdtcSpecialty' binds to the value set 'http://hl7.org/fhir/ValueSet/c80-practice-codes' which is experimental, but this structure is not labeled as experimental (4 uses)
The definition for the element 'ClinicalDocument.authenticator.assignedEntity.sdtcSpecialty' binds to the value set 'http://hl7.org/fhir/ValueSet/c80-practice-codes' which is experimental, but this structure is not labeled as experimental (14 uses)
The definition for the element 'ClinicalDocument.author.assignedAuthor.sdtcSpecialty' binds to the value set 'http://hl7.org/fhir/ValueSet/c80-practice-codes' which is experimental, but this structure is not labeled as experimental (14 uses)
The definition for the element 'ClinicalDocument.dataEnterer.assignedEntity.sdtcSpecialty' binds to the value set 'http://hl7.org/fhir/ValueSet/c80-practice-codes' which is experimental, but this structure is not labeled as experimental (14 uses)
The definition for the element 'ClinicalDocument.informant.assignedEntity.sdtcSpecialty' binds to the value set 'http://hl7.org/fhir/ValueSet/c80-practice-codes' which is experimental, but this structure is not labeled as experimental (14 uses)
The definition for the element 'ClinicalDocument.legalAuthenticator.assignedEntity.sdtcSpecialty' binds to the value set 'http://hl7.org/fhir/ValueSet/c80-practice-codes' which is experimental, but this structure is not labeled as experimental (14 uses)
The definition for the element 'ClinicalDocument.participant.associatedEntity.sdtcSpecialty' binds to the value set 'http://hl7.org/fhir/ValueSet/c80-practice-codes' which is experimental, but this structure is not labeled as experimental (2 uses)
The definition for the element 'Encounter.performer.assignedEntity.sdtcSpecialty' binds to the value set 'http://hl7.org/fhir/ValueSet/c80-practice-codes' which is experimental, but this structure is not labeled as experimental (2 uses)
The definition for the element 'Observation.participant.participantRole.sdtcSpecialty' binds to the value set 'http://hl7.org/fhir/ValueSet/c80-practice-codes' which is experimental, but this structure is not labeled as experimental (4 uses)
The definition for the element 'Organizer.participant.participantRole.sdtcSpecialty' binds to the value set 'http://hl7.org/fhir/ValueSet/c80-practice-codes' which is experimental, but this structure is not labeled as experimental (2 uses)
The definition for the element 'Organizer.sdtcCategory' binds to the value set 'http://hl7.org/fhir/ValueSet/diagnostic-service-sections' which is experimental, but this structure is not labeled as experimental (2 uses)
The definition for the element 'Participant1.associatedEntity.sdtcSpecialty' binds to the value set 'http://hl7.org/fhir/ValueSet/c80-practice-codes' which is experimental, but this structure is not labeled as experimental (2 uses)
The definition for the element 'Procedure.performer.assignedEntity.sdtcSpecialty' binds to the value set 'http://hl7.org/fhir/ValueSet/c80-practice-codes' which is experimental, but this structure is not labeled as experimental (2 uses)
29 - Retired profiles that are still being used
The profile http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatusMeaningfulUse|5.0.0-ballot is retired (1 uses)
The profile http://hl7.org/cda/us/ccda/StructureDefinition/TobaccoUse|5.0.0-ballot is retired (1 uses)
30 This is a guide that uses FHIR v5 that references guides that are FHIR v4
The ImplementationGuide is based on FHIR version 5.0.0 but package hl7.fhir.us.core#current is based on FHIR version 4.0.1. In general, this version mismatch should be avoided - some tools will try to make this work with variable degrees of success, but others will not even try (1 uses)
The ImplementationGuide is based on FHIR version 5.0.0 but package us.cdc.phinvads#0.12.0 is based on FHIR version 4.0.1. In general, this version mismatch should be avoided - some tools will try to make this work with variable degrees of success, but others will not even try (1 uses)
This IG is for FHIR version 5.0.0, while the package 'hl7.fhir.uv.smart-app-launch#2.2.0' is for FHIR version 4.0.1 (1 uses)
This IG is for FHIR version 5.0.0, while the package 'hl7.fhir.uv.xver-r5.r4#0.0.1-snapshot-2' is for FHIR version 4.0.1 (0 uses)
This IG is for FHIR version 5.0.0, while the package 'hl7.terminology#5.5.0' is for FHIR version 4.0.1 (1 uses)
This IG is version 5.0.0, while the IG 'hl7.fhir.us.core' is from version 4.0.1 (1 uses)
This IG is version 5.0.0, while the IG 'us.cdc.phinvads' is from version 4.0.1 (1 uses)
31 Multiple version matches for values sets - should choose specific version
There are multiple different potential matches for the url% (1959 uses)
v4-01 - referencing an example external document or direct link that doesn't exist
No definition could be found for URL value 'AdvanceDirective.b50b7910-7ffb-4f4c-bbe4-177ed68cbbf3.pdf' (2 uses)
No definition could be found for URL value 'polstregistry@direct.polstregistry.com' (1 uses)
v4-02 - We know that Languages is a proper subset of all-languages
Binding http://hl7.org/fhir/ValueSet/all-languages could not be expanded (2 uses)
v4-03 - Either we have an error for a reference that doesn't resolve or we have an error that the reference does not exist.
Act.text.reference: minimum required = 1, but only found 0% (1 uses)
Observation.text.reference: minimum required = 1, but only found 0% (1 uses)
Organizer.code.originalText.reference: minimum required = 1, but only found 0% (1 uses)
SubstanceAdministration.text.reference: minimum required = 1, but only found 0% (1 uses)
v5-03 - Codes from NCI Thesaurus that are not in the code system fragment on tx.fhir.org but have been verified to be in the code system
The value provided ('C106038') was not found in the value set 'Device Latex Safety' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606), and a code is required from this value set % (1 uses)
The value provided ('C113844') was not found in the value set 'Device Magnetic resonance (MR) Safety' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606), and a code is required from this value set% (1 uses)
The value provided ('C45329') was not found in the value set 'Implantable Device Status' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606), and a code is required from this value set% (1 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/UDIOrganizer|5.0.0-ballot% (3 uses)
Unknown Code 'C106038' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version 'null' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
Unknown Code 'C113844' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version 'null' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
Unknown Code 'C45329' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version 'null' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
v5-04 - Validator unable to determine that specific datatypes are present
Slice 'Act.entryRelationship:medicationActivity': a matching slice is required, but not found% (2 uses)
Slice 'Observation.value:coded': a matching slice is required, but not found% (3 uses)
Slice 'SubstanceAdministration.effectiveTime:duration': a matching slice is required, but not found% (3 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/AdmissionMedication|5.0.0-ballot% (1 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/BasicIndustryObservation|5.0.0-ballot% (1 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/BasicOccupationObservation|5.0.0-ballot% (1 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/DischargeMedicationsSection|5.0.0-ballot% (1 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/DischargeMedication|5.0.0-ballot% (1 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity|5.0.0-ballot% (3 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/MedicationsSection|5.0.0-ballot% (1 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/MentalStatusObservation|5.0.0-ballot% (2 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/PlannedMedicationActivity|5.0.0-ballot% (1 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/ResultObservation|5.0.0-ballot% (2 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatus|5.0.0-ballot% (2 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection|5.0.0-ballot% (1 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/TribalAffiliationObservation|5.0.0-ballot% (1 uses)
v5-05 - VSAC Value set definition has a modifier exception that is unknown
Cannot process resource at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifier (0 uses)
Slice 'Organizer.component:selfCare': a matching slice is required, but not found% (1 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/FunctionalStatusOrganizer|5.0.0-ballot% (1 uses)
v5-06 - Note Activity does have a matching text.reference target
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/NotesSection|5.0.0-ballot% (1 uses)
v5-07 - Publisher code that converts CDA text style tags to HTML tags is not handing captions in lists properly
Elements of type caption must be in a table, not a li at text/ul/li/caption (1 uses)
v5-10 - New extension used by the publisher
No definition could be found for URL value 'http://hl7.org/fhir/tools/StructureDefinition/expansion-parameters' (0 uses)
v5-11 - guide parameter extension that the publisher uses
Reference to experimental CodeSystem http://hl7.org/fhir/guide-parameter-code|5.0.0 (15 uses)
v5-12 - Reference to retired value sets that are still used in C-CDA
Reference to retired ValueSet% (199 uses)
v5-13 - VSAC value sets use snomed concept definitions
Error from https://tx.fhir.org/r5: Error: The filter "concept in 11797002,12586001,17436001,30346009,370838009,37894004,386479004" from the value set http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.52 was not understood in the context of http://snomed.info/sct (0 uses)
Error from https://tx.fhir.org/r5: Error: The filter "concept in 37041007,386261001,765024005,765063003" from the value set http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1095.2 was not understood in the context of http://snomed.info/sct (0 uses)
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/EncountersSection|5.0.0-ballot (this may not be a problem, but you should check that it's not intended to match a slice) (0 uses)
The value provided ('C45329') was not found in the value set 'Implantable Device Status' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606), and a code is required from this value set (error message = The provided code 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C45329' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606')
The value provided ('C106038') was not found in the value set 'Device Latex Safety' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606), and a code is required from this value set (error message = The provided code 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C106038' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606')
The value provided ('C113844') was not found in the value set 'Device Magnetic resonance (MR) Safety' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606), and a code is required from this value set (error message = The provided code 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C113844' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606')
None of the codings provided are in the value set 'Answer Set with Yes No and Unknowns' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005), and a coding from this value set is required) (codes = http://snomed.info/sct#171044003)
None of the codings provided are in the value set 'Answer Set with Yes No and Unknowns' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16|20241005), and a coding from this value set is required) (codes = http://snomed.info/sct#171044003)
Observation.text.reference: minimum required = 1, but only found 0 (from http://hl7.org/cda/us/ccda/StructureDefinition/CareTeamMemberScheduleObservation|5.0.0-ballot)
Organizer.code.originalText.reference: minimum required = 1, but only found 0 (from http://hl7.org/cda/us/ccda/StructureDefinition/CareTeamOrganizer|5.0.0-ballot)
Observation.effectiveTime: minimum required = 1, but only found 0 (from http://hl7.org/cda/us/ccda/StructureDefinition/InterpreterNeededObservation|5.0.0-ballot)
SubstanceAdministration.text.reference: minimum required = 1, but only found 0 (from http://hl7.org/cda/us/ccda/StructureDefinition/MedicationFreeTextSig|5.0.0-ballot)
Observation.effectiveTime: minimum required = 1, but only found 0 (from http://hl7.org/cda/us/ccda/StructureDefinition/InterpreterNeededObservation|5.0.0-ballot)
Slice 'Act.entryRelationship:medicationActivity': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/AdmissionMedication|5.0.0-ballot). Note that other slices are allowed in addition to this required slice
Slice 'Observation.value:coded': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/BasicIndustryObservation|5.0.0-ballot). Note that other slices are allowed in addition to this required slice
Slice 'Observation.value:coded': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/BasicOccupationObservation|5.0.0-ballot). Note that other slices are allowed in addition to this required slice
Slice 'Act.entryRelationship:medicationActivity': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/DischargeMedication|5.0.0-ballot). Note that other slices are allowed in addition to this required slice
Slice 'Organizer.component:selfCare': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/FunctionalStatusOrganizer|5.0.0-ballot). Note that other slices are allowed in addition to this required slice
Slice 'SubstanceAdministration.effectiveTime:duration': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity|5.0.0-ballot). Note that other slices are allowed in addition to this required slice
Slice 'SubstanceAdministration.effectiveTime:duration': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity|5.0.0-ballot). Note that other slices are allowed in addition to this required slice
Slice 'SubstanceAdministration.effectiveTime:duration': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/PlannedMedicationActivity|5.0.0-ballot). Note that other slices are allowed in addition to this required slice
Slice 'Observation.value:coded': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/TribalAffiliationObservation|5.0.0-ballot). Note that other slices are allowed in addition to this required slice
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatus|5.0.0-ballot and slicing is CLOSED: observation.value[0]: Does not match slice 'packYears' (discriminator: ($this is CDA.REAL)), observation.value[0]: Does not match slice 'coded' (discriminator: ($this is CDA.CD))
This element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatus|5.0.0-ballot and slicing is CLOSED: observation.value[0]: Does not match slice 'packYears' (discriminator: ($this is CDA.REAL)), observation.value[0]: Does not match slice 'coded' (discriminator: ($this is CDA.CD))
Value is '89187-7' but is fixed to '54588-9' in the profile http://hl7.org/cda/us/ccda/StructureDefinition/InterpreterNeededObservation|5.0.0-ballot#Observation.code.code
Value is '89187-7' but is fixed to '54588-9' in the profile http://hl7.org/cda/us/ccda/StructureDefinition/InterpreterNeededObservation|5.0.0-ballot#Observation.code.code
hl7.cda.us.ccda
hl7.fhir.uv.extensions.r4
