Generated Tue May 26 04:29:46 UTC 2026, FHIR version 4.0.1 for hl7.fhir.us.core#9.0.0 (canonical = http://hl7.org/fhir/us/core (history)). See Errors Only & IP
| Quality Checks | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Publisher Version: | IG Publisher Version: v2.2.8 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Publication Code: | core . PackageId = hl7.fhir.us.core, Canonical = http://hl7.org/fhir/us/core | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Realm Check for US: | Snomed: The IG specifies the US edition of SNOMED CT ✓ Profiles: All OK | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Language Info: | This IG has no language information | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Publication Request: |
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| Supressed Messages: | 79 Suppressed Issues | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency Checks: |
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| Related IGs: | n/a | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependent IGs: | no references | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Global Profiles: | (none declared) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Terminology Server(s): | http://tx.fhir.org/r4, https://smt.esante.gouv.fr/fhir, https://terminologystandardsservice.ca/tx/fhir, https://tx-nordics.fhir.org/fhir/r4, https://tx.fhir.ch/r4, https://tx.fhir.org/r4, https://tx.hl7.org.au/fhir, https://tx.hl7chile.cl/r4, https://tx.hl7europe.eu/r4, https://tx.ontoserver.csiro.au/fhir (details) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HTA Analysis: | 4 issues | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| R5 Dependencies: |
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| Draft Dependencies: |
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| Modifier Extensions: | (none) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Previous Version Comparison: | Comparison with version 8.0.1 Comparison with version 7.0.0 Comparison with version 6.1.0 Comparison with version 5.0.1 Comparison with version 4.0.0 Comparison with version 3.1.1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| IPA Comparison: | Comparison with version 1.1.0 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| IPS Comparison: | Comparison with version 2.0.0 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Validation Flags: | On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Narratives Suppressed | Bundle/docref-example-1, Bundle/docref-example-2, DocumentReference/discharge-summary | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | errors = 5, warn = 0, info = 0, broken links = 0, pinned = 5263 (all) (in manifest Parameters/manifest). | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Path | Severity | Message | Validating |
| Immunization.vaccineCode.coding[1].code (l10/c4) | error | Unknown code '49281012188' in the CodeSystem 'http://hl7.org/fhir/sid/ndc' version '2021-11-01' Editor's Comment: 47. === This NDC codes has been checked and is a valid Unit of Use NDC codes as described on the CDC's IIS website: https://www2a.cdc.gov/vaccines/iis/iisstandards/ndc_tableaccess.asp. There are issues with the NDC directory used for validation, because it is incomplete. For details and the variance approval from the product director, see this Zulip chat: https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/Immunization.20NDC.20Code.20error/with/562172015 === (from https://tx.fhir.org/r4, see log, or see the servers logic) Unknown_Code_in_Version | US Core Immunization Profile |
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| Path | Severity | Message | Validating |
| Patient.extension[2].extension[0].value.ofType(CodeableConcept).coding[0].display (l97/c12) | error | Wrong Display Name 'Paiute-Shoshone Tribe of the Fallon Reservation and Colony, Nevada' for http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS#187. Valid display is 'Paiute-Shoshone Tribe of the Fallon Reservation an' (for the language(s) 'en-US') Editor's Comment: 63. === The display name has been verified, however the validator truncated it to 50 characters. === Display_Name_for__should_be_one_of__instead_of | US Core Patient Profile |
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| Path | Severity | Message | Validating |
| Parameters.parameter[3].value.ofType(canonical) | error | A definition could not be found for Canonical URL 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|2018-08-12' Editor's Comment: 66. === Although the implementation guide editors are unable to correct the Parameters Manifest resource because it is generated by the build, the pinned version of the NullFlavor (http://terminology.hl7.org/CodeSystem/v3-NullFlavor) code system, "2018-08-12", is an older version published in FHIR R4. but the manifest links it to the current version 4.0.0 in THO. === TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE | Parameters |
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| Path | Severity | Message | Validating |
| StructureDefinition.snapshot.element[42].pattern.ofType(CodeableConcept).coding[0].code (l1/c111265) | error | Unknown code 'transmitter' in the CodeSystem 'http://terminology.hl7.org/CodeSystem/provenance-participant-type' version '4.0.1' Editor's Comment: 65. === The code 'transmitter' has been verified as a member of the Provenance participant type value set pinned to version 1.0.1 and composed of all codes defined in http://terminology.hl7.org/CodeSystem/provenance-participant-type version 2.0.0. Version '4.0.1' of the code system refers to an older version published in FHIR R4. === Unknown_Code_in_Version | StructureDefinition |
| StructureDefinition.differential.element[11].pattern.ofType(CodeableConcept).coding[0].code (l1/c129344) | error | Unknown code 'transmitter' in the CodeSystem 'http://terminology.hl7.org/CodeSystem/provenance-participant-type' version '4.0.1' Editor's Comment: 65. === The code 'transmitter' has been verified as a member of the Provenance participant type value set pinned to version 1.0.1 and composed of all codes defined in http://terminology.hl7.org/CodeSystem/provenance-participant-type version 2.0.0. Version '4.0.1' of the code system refers to an older version published in FHIR R4. === Unknown_Code_in_Version | StructureDefinition |
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Suppressed Messages (Warnings, hints, broken links)
04. === Several examples derived from this profile are provided in this guide (1) ===
05. === These questionnaires are created using NLM tooling based on LOINC LFORMs. They use standard FHIR Questionnaire Extensions that "extend" the base SDC profile ===
06. === The code is from the US Core defined NUCC binding and not from base FHIR preferred c80-practice-codes value set (updated text from 7.0.0) ===
07. === Examples provided in Bundle (e.g. PractitionerRole_Practitioner_Endpoint_Bundle_Example, Allergyintolerance Provenance Example) (2)===
08. === The following content is inherited from the base standard and cannot be changed ===
09. === The pattern is set in a repeating slice. The pattern is expected to hold for all repetitions of that slice. (It's fixing the 'system' for the identifier.) ===
10. === The self-link for these searchset bundles is to the $docref operation and not to a FHIR search string====
11. === Using the extension US Core Extension Questionnaire URI pointing to a pdf form of the Questionnaire for this example. Regarding the message: "No questionnaire is identified, so no validation can be performed against the base questionnaire" ===
15. === This Search Parameter expression `Goal.target.due as date` is inherited from the FHIR base. Since US Core inherits from the FHIR R4 base, this warning is acknowledged as an issue with the base specification. In R5, this expression has been updated to `(Goal.target.due.ofType(date))`. ===
17. === The 'no-narrative' parameter is used for these resources instances because they are displayed as inline JSON examples to illustrate transactions, and the narrative degrades human readability ===
18. === The following code systems and value set are in FHIR Core/THO and not under the direct control of US Core editors ===
19. === The following code systems are not discoverable because they are code systems in THO, but THO doesn't define the codes. They have been checked, and the identifiers are correct (updated text from 7.0.0) ===
21. === The following code system is not discoverable because they are code systems in THO, but THO doesn't define the codes due to AHA NUBC Patient Discharge Status Codes IP issues. These codes were checked manually (updated text from 7.0.0)===
22. ===FHIR R4 http://hl7.org/fhir/ValueSet/formatcodes is in error which has been corrected in the FHIR R5. The guide is referencing the "HL7 ValueSet of Format Codes for use with Document Sharing" that is used in R5 (updated text from 7.0.0) ===
23. === The US Core Team is aware of this and is actively moving its value sets to VSAC and code systems to THO in each publication cycle. See the change log for details. ===
26. === Using the standard CapabilityStatementExpectation extension in additional contexts to fully express intended capabilities: see FHIR-12419 (115) (updated text from 7.0.0-ballot) ===
27. === These Examples demonstrate the use of additional Codes or Identifiers not defined in US Core profiles Updated in 9.0.0 ===
28. === In this example, representing the concept clearly with human-readable annotations {pack-years} is not misleading. It clearly illustrates how to use the Observation with the code and demonstrates a clinical need outweighing concerns about using annotations. ===
29. === US Core thoroughly documents its Must Support expectations for the must supports on the Must Support page, including how they apply to the choice of target references in the Must Support - Resource References section. (Also, see this chat https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/Must.20Support.20Target.20Error.20for.20Reference.20type.20Element ===
30. === Two Bundle examples use this profile and one non-validated inline example that conforms to it as well - when the publisher understands versioned examples, we will create a published example to replace it. ===
31. === The binding applies to the Quantity data type for US Core Vitals Signs Profile. It inherits the structure from Core, and a change request to correct this has been applied to the base FHIR ver 4.3.0 ("Release 4B"). Will need to slice value[x] in future (updated text from 7.0.0) ===
33. === To comply with Executive Order 14168, the following changes were made: 1)Removed USCDI mapping, guidance, and examples for the US Core Observation Sexual Orientation Profile 2) Removed the US Core Birth Sex Extension, guidance, and examples from the US Core Patient Profile 3) Deprecated the US Core Gender Identity and US Core Sex Extensions and removed them from the US Core Profile, USCDI mapping, guidance, and examples. Although the profiles and extensions will remain in this version of US Core to allow for backward compatibility - no examples will be supplied. ===
34. === US Core provides IG-specific guidance on interpreting Must Support for slices at `~/must-support.html#must-support---slices`. Where we state: "...the slicer's Must Support property only defines the element level Must Support/Additional USCDI property. In other words, the slicer's Must Support/Additional USCDI is not inherited by the slices, and each slice must be explicitly tagged with the Must Support/Additional USCDI property to define that slice's conformance strength. If no Must Support/Additional USCDI property is defined for the slice, this lengthy chat: https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/Slices.20not.20inheriting.20preferred.20bindings.20from.20root/with/514257770 and the resulting tracker FHIR-50391. ===
35. === These messages have been acknowledged for this release. After reviewing the implications for conformant systems and downstream publications, we will consider updating and/or adopting the recommended replacement in a future release. ===
36. === These Extension StructureDefinitions were examined, and there are no substantive changes between versions and thus no reason to specify a version ===
38. === As explained in the section "US Core ValueSet and CodeSystem versions" US Core "pins" the published version to the latest versions of code systems and value sets. A manifest of the "pinned" versions can be found at "Parameters-manifest.html" Despite this, in addition the the informational message, the validator is producing the following warnings:
40 === Similar to the base FHIR specification, the Guide states in the introductory paragraph of the Conformance section's General Requirements page, "The conformance verbs - SHALL, SHOULD, MAY - used in this guide are defined in FHIR Conformance Rules, and these conventions are strictly adhered to throughout the guide. ===
47. === This NDC codes has been checked and is a valid Unit of Use NDC codes as described on the CDC's IIS website: https://www2a.cdc.gov/vaccines/iis/iisstandards/ndc_tableaccess.asp. There are issues with the NDC directory used for validation, because it is incomplete. For details and the variance approval from the product director, see this Zulip chat: https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/Immunization.20NDC.20Code.20error/with/562172015 ===
50. === This ValueSet is set by the Sushi tooling stack when generating the ImplementationGuide resources from the configuration file. It will be updated when the tooling is updated ===
52. === These URLs are generated by: 1) Requirements resource element `Requirements.statement.reference` ("A reference to another artifact that created this requirement. This could be a Profile, etc., or external regulation, or business requirements expressed elsewhere.") 2) The originalNarrative Extension ("A human language representation of the concept (resource/element), as a url that is a reference to a portion of the narrative of a resource ....") for each element `Requirements.statement.reference` which provide a direct link to the text in the guide using the requirement's key as a page anchor. These are all relative references within the IG and use to enhance the rendering to inform the reader what page and section the requirement came from. ===
54. === These deprecated extensions are inherited from the base FHIR resources and not under the control of US Core editors. ===
55. === The following Code Systems are defined by CDC. However, the IG publisher's terminology server does not support CDC-based code systems. Note that the Codesystem URL is correct and listed on THO's External Code Systems page. ===
56. === The following Code Systems are commonly used standard code system that support post-coordination, which means full expansion isn’t possible. We recognize that the the value set definitions where they are used need to be narrowed, but this work has been deferred. ===
58. === This informational message confirms that this guide is pinned to all most recent versions used at the time this guide was published. For more guidance on pinning in US Core, see the Terminology Page. ===
60. === The preferred US Core defined binding is defined intentionally in VSAC. Although this code is a legitimate assessment code, it does not fit the valueset's definition, because its class attribute is not "survey". We logged tracker FHIR-56786 to review and update the ValueSet definition in the next version of US Core. ===
61. === These category cods are from the US Core Observation Screening Assessment Profile's minimum required binding and not from base FHIR Observation's preferred binding. ===
62. === The US Core Simple Observation Profiles have preferred or example bindings to broadly defined LOINC value sets. These value sets contain concepts that span many use cases and are not bound to any USCDI Health Assessments Data Element. The code in these cases that triggered this message are created and recommnended by The Gravity project for the SDOH USCDI Health Assessments Data Element. ===
63. === The display name has been verified, however the validator truncated it to 50 characters. ===
64. === The coding has been verified as a member of the TribalEntityUS Version 4.0.0 value set at TribalEntityUS at http://terminology.hl7.org/ValueSet/v3-TribalEntityUS. There is no version "2018-08-12" listed in the definition.
65. === The code 'transmitter' has been verified as a member of the Provenance participant type value set pinned to version 1.0.1 and composed of all codes defined in http://terminology.hl7.org/CodeSystem/provenance-participant-type version 2.0.0. Version '4.0.1' of the code system refers to an older version published in FHIR R4. ===
66. === Although the implementation guide editors are unable to correct the Parameters Manifest resource because it is generated by the build, the pinned version of the NullFlavor (http://terminology.hl7.org/CodeSystem/v3-NullFlavor) code system, "2018-08-12", is an older version published in FHIR R4. but the manifest links it to the current version 4.0.0 in THO. ===
Errors sorted by type
| input/examples/patient-example.json | Wrong Display Name 'Paiute-Shoshone Tribe of the Fallon Reservation and Colony, Nevada' for http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS#187. Valid display is 'Paiute-Shoshone Tribe of the Fallon Reservation an' (for the language(s) 'en-US') | US Core Patient Profile |
| input/resources/Parameters-manifest.json | A definition could not be found for Canonical URL 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|2018-08-12' | Parameters |
| input/examples/imm-1.json | Unknown code '49281012188' in the CodeSystem 'http://hl7.org/fhir/sid/ndc' version '2021-11-01' | US Core Immunization Profile |
| input/resources/StructureDefinition-us-core-provenance.json | Unknown code 'transmitter' in the CodeSystem 'http://terminology.hl7.org/CodeSystem/provenance-participant-type' version '4.0.1' | StructureDefinition |
| input/resources/StructureDefinition-us-core-provenance.json | Unknown code 'transmitter' in the CodeSystem 'http://terminology.hl7.org/CodeSystem/provenance-participant-type' version '4.0.1' | StructureDefinition |