Validation Results for CARINConsumerDirectedPayerDataExchange

Generated Tue Mar 03 16:12:14 UTC 2026, FHIR version 4.0.1 for hl7.fhir.us.carin-bb#2.2.0 (canonical = http://hl7.org/fhir/us/carin-bb (history)). See Errors Only & IP

Quality Checks

Publisher Version: IG Publisher Version: v2.1.2

Publication Code: carin-bb . PackageId = hl7.fhir.us.carin-bb, Canonical = http://hl7.org/fhir/us/carin-bb

Realm Check for US:

Snomed: The IG doesn't use SNOMED CT

Profiles: All OK

Language Info: Stated Languages: n/a. IG Resource Lang: en. 43 of 135 (31%) of resources have a language. Population Policy: NONE

Publication Request:

package-id

hl7.fhir.us.carin-bb

version

2.2.0

path

http://hl7.org/fhir/us/carin-bb/STU2.2

Pub-Mode

milestone

status

trial-use

Release-Label

STU 2.2

Sequence (Group)

STU 2 (current: 'STU 2', others = 'STU 1')

desc

CARIN Blue Button Implementation Guide Release 2.2 - US Realm STU

RelatedIgs

(None Found)

Proposed path for this milestone publication should usually be canonical with either sequence or version appended

Supressed Messages: 88 Suppressed Issues

Dependency Checks:

Package	Version	FHIR	Canonical	Web Base	Comment
hl7.fhir.us.carin-bb	2.2.0	R4	http://hl7.org/fhir/us/carin-bb
hl7.terminology.r4	7.0.1 M	R4	http://terminology.hl7.org	http://terminology.hl7.org/7.0.1
hl7.fhir.uv.extensions.r4	5.2.0 M	R4	http://hl7.org/fhir/extensions	http://hl7.org/fhir/extensions/5.2.0
hl7.fhir.us.core	7.0.0 O	R4	http://hl7.org/fhir/us/core	http://hl7.org/fhir/us/core/STU7	Latest Release is 8.0.1
hl7.terminology.r4	5.5.0 O	R4	http://terminology.hl7.org	http://terminology.hl7.org/5.5.0	Latest Release is 7.0.1
hl7.fhir.uv.smart-app-launch	2.0.0 O	R4	http://hl7.org/fhir/smart-app-launch	http://hl7.org/fhir/smart-app-launch/STU2	Latest Release is 2.2.0
us.nlm.vsac	0.18.0 O	R4	http://fhir.org/packages/us.nlm.vsac	http://fhir.org/packages/us.nlm.vsac	Latest Release is 0.24.0
hl7.fhir.uv.sdc	3.0.0 M	R4	http://hl7.org/fhir/uv/sdc	http://hl7.org/fhir/uv/sdc/STU3
hl7.fhir.r4.examples	4.0.1 O	R4	http://hl7.org/fhir	http://hl7.org/fhir/R4	Latest Release is 5.0.0
us.cdc.phinvads	0.12.0 M	R4	http://fhir.org/packages/us.cdc.phinvads	http://fhir.org/packages/us.cdc.phinvads
hl7.fhir.uv.extensions	5.1.0-snapshot1 O	R5	http://hl7.org/fhir/extensions	http://hl7.org/fhir/extensions/5.1.0-snapshot1	FHIR Version Mismatch. Latest Release is 5.2.0
hl7.terminology.r5	5.3.0 O	R5	http://terminology.hl7.org	http://terminology.hl7.org/5.3.0	FHIR Version Mismatch. Latest Release is 7.0.1
hl7.fhir.us.core.v610	6.1.0 U	R4	http://hl7.org/fhir/us/core/v610	http://hl7.org/fhir/us/core/STU6.1
hl7.fhir.us.core	6.1.0 O	R4	http://hl7.org/fhir/us/core	http://hl7.org/fhir/us/core/STU6.1	Latest Release is 8.0.1
hl7.terminology.r4	5.0.0 O	R4	http://terminology.hl7.org	http://terminology.hl7.org/5.0.0	Latest Release is 7.0.1
hl7.fhir.uv.extensions.r4	1.0.0 O	R4	http://hl7.org/fhir/extensions	http://hl7.org/fhir/extensions/1.0.0	Latest Release is 5.2.0
hl7.fhir.uv.bulkdata	2.0.0 O	R4	http://hl7.org/fhir/uv/bulkdata	http://hl7.org/fhir/uv/bulkdata/STU2	Latest Release is 3.0.0
hl7.fhir.uv.smart-app-launch	2.1.0 O	R4	http://hl7.org/fhir/smart-app-launch	http://hl7.org/fhir/smart-app-launch/STU2.1	Latest Release is 2.2.0
hl7.terminology.r4	5.0.0 O	R4	http://terminology.hl7.org	http://terminology.hl7.org/5.0.0	(as above). Latest Release is 7.0.1
us.nlm.vsac	0.11.0 O	R4	http://fhir.org/packages/us.nlm.vsac	http://fhir.org/packages/us.nlm.vsac	Latest Release is 0.24.0
hl7.fhir.uv.sdc	3.0.0 M	R4	http://hl7.org/fhir/uv/sdc	http://hl7.org/fhir/uv/sdc/STU3	(as above)
us.cdc.phinvads	0.12.0 M	R4	http://fhir.org/packages/us.cdc.phinvads	http://fhir.org/packages/us.cdc.phinvads	(as above)
ihe.formatcode.fhir	1.1.0 O	R4	https://profiles.ihe.net/fhir/ihe.formatcode.fhir	https://profiles.ihe.net/fhir/ihe.formatcode.fhir/1.1.0	Latest Release is 1.4.0
hl7.fhir.uv.extensions.r4	5.2.0 M	R4	http://hl7.org/fhir/extensions	http://hl7.org/fhir/extensions/5.2.0	(as above)
us.nlm.vsac	0.24.0 M	R4	http://fhir.org/packages/us.nlm.vsac	http://fhir.org/packages/us.nlm.vsac
hl7.fhir.uv.tools.r4	0.9.0 O	R4	http://hl7.org/fhir/tools	http://hl7.org/fhir/tools/0.9.0	Internal Dependency. Latest Release is 1.0.0

Templates: hl7.fhir.template#current -> hl7.base.template#current -> fhir2.base.template#current

Related IGs: n/a

Dependent IGs: no references

Global Profiles: (none declared)

Terminology Server(s): http://tx.fhir.org/r4, 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: All OK

R5 Dependencies:

http://hl7.org/fhir/5.0/StructureDefinition/extension-ImplementationGuide.dependsOn.reason

Draft Dependencies:

hl7.fhir.r4.core#4.0.1: GuideParameterCode (16 uses), payor (1 uses), care-team (1 uses), coverage (1 uses), identifier (1 uses), patient (1 uses), provider (1 uses), organization (1 uses), practitioner (1 uses), CommonTags (16 uses), CommonLanguages (29 uses), Organization (40 uses), FinancialResourceStatusCodes (1 uses), RelatedPerson (3 uses), SubscriberRelationshipCodes (2 uses), CoverageClassCodes (3 uses), CoverageCopayTypeCodes (1 uses), ExampleCoverageFinancialExceptionCodes (1 uses), Contract (1 uses), ExplanationOfBenefitStatus (11 uses), ClaimTypeCodes (10 uses), Use (11 uses), Practitioner (23 uses), PractitionerRole (23 uses), ProcessPriorityCodes (12 uses), Funds Reservation Codes (22 uses), Claim (22 uses), MedicationRequest (22 uses), VisionPrescription (11 uses), ServiceRequest (11 uses), Location (40 uses), ClaimResponse (11 uses), ClaimProcessingCodes (11 uses), ExampleProviderQualificationCodes (5 uses), ExceptionCodes (67 uses), MissingToothReasonCodes (95 uses), ExampleDiagnosisRelatedGroupCodes (11 uses), Device (44 uses), BenefitCategoryCodes (44 uses), ExampleProgramReasonCodes (44 uses), ExampleServicePlaceCodes (18 uses), OralSiteCodes (20 uses), SurfaceCodes (20 uses), Encounter (11 uses), AdjudicationReasonCodes (36 uses), ExampleRevenueCenterCodes (29 uses), USCLSCodes (54 uses), ModifierTypeCodes (58 uses), ExplanationOfBenefit (57 uses), AdjudicationValueCodes (8 uses), PaymentAdjustmentReasonCodes (11 uses), Form Codes (11 uses), NoteType (11 uses), NetworkTypeCodes (11 uses), UnitTypeCodes (11 uses), BenefitTermCodes (11 uses), BenefitTypeCodes (11 uses), ExampleClaimSubTypeCodes (7 uses), ExampleDiagnosisOnAdmissionCodes (9 uses), ExampleProcedureTypeCodes (9 uses), Procedure (9 uses), ICD-10ProcedureCodes (9 uses), Condition (3 uses), ICD-10Codes (3 uses), ExampleDiagnosisTypeCodes (3 uses), ClaimCareTeamRoleCodes (1 uses), OrganizationType (1 uses), ContactEntityType (1 uses), Endpoint (1 uses), PatientRelationshipType (1 uses), _id (6 uses), _lastUpdated (6 uses)
hl7.fhir.uv.extensions.r4#5.2.0: SDStatusDerivation (79 uses), SDcompliesWithProfile (5 uses)

Modifier Extensions: (none)

Previous Version Comparison: Comparison with version 2.1.0

IPA Comparison: n/a

IPS Comparison: n/a

Validation Flags: On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings

Summary: errors = 0, warn = 1, info = 4, broken links = 0, pinned = n/a.

Filename	Errors	Warnings	Hints
Build Errors	0	1	4
/scratch/repo/fsh-generated/includes/fsh-link-references	0	0	0
/scratch/repo/fsh-generated/includes/menu	0	0	0
/scratch/repo/fsh-generated/resources/CodeSystem-C4BBAdjudication	0	0	0
/scratch/repo/fsh-generated/resources/CodeSystem-C4BBAdjudicationDiscriminator	0	0	0
/scratch/repo/fsh-generated/resources/CodeSystem-C4BBClaimCareTeamRole	0	0	0
/scratch/repo/fsh-generated/resources/CodeSystem-C4BBClaimDiagnosisType	0	0	0
/scratch/repo/fsh-generated/resources/CodeSystem-C4BBClaimProcedureType	0	0	0
/scratch/repo/fsh-generated/resources/CodeSystem-C4BBCompoundLiteral	0	0	0
/scratch/repo/fsh-generated/resources/CodeSystem-C4BBIdentifierType	0	0	0
/scratch/repo/fsh-generated/resources/CodeSystem-C4BBInstitutionalClaimSubType	0	0	0
/scratch/repo/fsh-generated/resources/CodeSystem-C4BBPayeeType	0	0	0
/scratch/repo/fsh-generated/resources/CodeSystem-C4BBPayerAdjudicationStatus	0	0	0
/scratch/repo/fsh-generated/resources/CodeSystem-C4BBRelatedClaimRelationshipCodes	0	0	0
/scratch/repo/fsh-generated/resources/CodeSystem-C4BBSupportingInfoType	0	0	0
/scratch/repo/fsh-generated/resources/Coverage-Coverage1	0	0	0
/scratch/repo/fsh-generated/resources/Coverage-Coverage2	0	0	0
/scratch/repo/fsh-generated/resources/Coverage-Coverage3	0	0	0
/scratch/repo/fsh-generated/resources/Coverage-CoverageDental1	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-BB-EOBInpatient1-nonfinancial	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-BB-EOBInpatient2-nonfinancial	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-BB-EOBOral1-nonfinancial	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-BB-EOBOral2-nonfinancial	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-BB-EOBOutpatient1-nonfinancial	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-BB-EOBOutpatient2-nonfinancial	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-BB-EOBPharmacy1-nonfinancial	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-BB-EOBProfessional1-nonfinancial	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-BB-EOBProfessional2-nonfinancial	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-BB-EOBProfessionalTransportation1-nonfinancial	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-EOBInpatient1	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-EOBInpatient2	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-EOBOral1	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-EOBOral2	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-EOBOutpatient1	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-EOBOutpatient2	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-EOBPharmacy1	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-EOBProfessional1	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-EOBProfessional2	0	0	0
/scratch/repo/fsh-generated/resources/ExplanationOfBenefit-EOBProfessionalTransportation1	0	0	0
/scratch/repo/fsh-generated/resources/ImplementationGuide-hl7.fhir.us.carin-bb	0	0	0
/scratch/repo/fsh-generated/resources/Organization-DentalPayer1	0	0	0
/scratch/repo/fsh-generated/resources/Organization-Payer1	0	0	0
/scratch/repo/fsh-generated/resources/Organization-Payer2	0	0	0
/scratch/repo/fsh-generated/resources/Organization-ProviderOrganization1	0	0	0
/scratch/repo/fsh-generated/resources/Organization-ProviderOrganization2	0	0	0
/scratch/repo/fsh-generated/resources/Organization-ProviderOrganization3	0	0	0
/scratch/repo/fsh-generated/resources/Organization-ProviderOrganization4	0	0	0
/scratch/repo/fsh-generated/resources/Organization-ProviderOrganization5	0	0	0
/scratch/repo/fsh-generated/resources/Organization-ProviderOrganization6	0	0	0
/scratch/repo/fsh-generated/resources/Organization-ProviderTransportationOrganization1	0	0	0
/scratch/repo/fsh-generated/resources/Patient-Patient1	0	0	0
/scratch/repo/fsh-generated/resources/Patient-Patient2	0	0	0
/scratch/repo/fsh-generated/resources/Practitioner-Practitioner1	0	0	0
/scratch/repo/fsh-generated/resources/Practitioner-Practitioner2	0	0	0
/scratch/repo/fsh-generated/resources/Practitioner-Practitioner3	0	0	0
/scratch/repo/fsh-generated/resources/Practitioner-Practitioner4	0	0	0
/scratch/repo/fsh-generated/resources/Practitioner-PractitionerDentalProvider1	0	0	0
/scratch/repo/fsh-generated/resources/RelatedPerson-RelatedPerson1	0	0	0
/scratch/repo/fsh-generated/resources/SearchParameter-coverage-payor	0	0	0
/scratch/repo/fsh-generated/resources/SearchParameter-explanationofbenefit-billable-period-start	0	0	0
/scratch/repo/fsh-generated/resources/SearchParameter-explanationofbenefit-care-team	0	0	0
/scratch/repo/fsh-generated/resources/SearchParameter-explanationofbenefit-coverage	0	0	0
/scratch/repo/fsh-generated/resources/SearchParameter-explanationofbenefit-identifier	0	0	0
/scratch/repo/fsh-generated/resources/SearchParameter-explanationofbenefit-insurer	0	0	0
/scratch/repo/fsh-generated/resources/SearchParameter-explanationofbenefit-patient	0	0	0
/scratch/repo/fsh-generated/resources/SearchParameter-explanationofbenefit-provider	0	0	0
/scratch/repo/fsh-generated/resources/SearchParameter-explanationofbenefit-service-date	0	0	0
/scratch/repo/fsh-generated/resources/SearchParameter-explanationofbenefit-service-start-date	0	0	0
/scratch/repo/fsh-generated/resources/SearchParameter-explanationofbenefit-type	0	0	0
/scratch/repo/fsh-generated/resources/SearchParameter-practitionerrole-organization	0	0	0
/scratch/repo/fsh-generated/resources/SearchParameter-practitionerrole-practitioner	0	0	0
/scratch/repo/fsh-generated/resources/StructureDefinition-C4BB-Coverage	0	0	0
/scratch/repo/fsh-generated/resources/StructureDefinition-C4BB-ExplanationOfBenefit	0	0	0
/scratch/repo/fsh-generated/resources/StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional	0	0	0
/scratch/repo/fsh-generated/resources/StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-Basis	0	0	0
/scratch/repo/fsh-generated/resources/StructureDefinition-C4BB-ExplanationOfBenefit-Oral	0	0	0
/scratch/repo/fsh-generated/resources/StructureDefinition-C4BB-ExplanationOfBenefit-Oral-Basis	0	0	0
/scratch/repo/fsh-generated/resources/StructureDefinition-C4BB-ExplanationOfBenefit-Outpatient-Institutional	0	0	0
/scratch/repo/fsh-generated/resources/StructureDefinition-C4BB-ExplanationOfBenefit-Outpatient-Institutional-Basis	0	0	0
/scratch/repo/fsh-generated/resources/StructureDefinition-C4BB-ExplanationOfBenefit-Pharmacy	0	0	0
/scratch/repo/fsh-generated/resources/StructureDefinition-C4BB-ExplanationOfBenefit-Pharmacy-Basis	0	0	0
/scratch/repo/fsh-generated/resources/StructureDefinition-C4BB-ExplanationOfBenefit-Professional-NonClinician	0	0	0
/scratch/repo/fsh-generated/resources/StructureDefinition-C4BB-ExplanationOfBenefit-Professional-NonClinician-Basis	0	0	0
/scratch/repo/fsh-generated/resources/StructureDefinition-C4BB-Organization	0	0	0
/scratch/repo/fsh-generated/resources/StructureDefinition-C4BB-Patient	0	0	0
/scratch/repo/fsh-generated/resources/StructureDefinition-C4BB-Practitioner	0	0	0
/scratch/repo/fsh-generated/resources/StructureDefinition-C4BB-RelatedPerson	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-ADADentalProcedureCode	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-ADAUniversalNumberingSystem	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-AHANUBCPatientDischargeStatus	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-AHANUBCPointOfOriginForAdmissionOrVisit	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-AHANUBCPriorityTypeOfAdmissionOrVisit	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-AHANUBCRevenueCodes	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-AHANUBCTypeOfBill	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-AMACPTCMSHCPCSModifiers	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-AMACPTCMSHCPCSProcedureCodes	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBAdjudication	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBAdjudicationCategoryDiscriminator	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBAmbulanceTransportReasonCodes	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBClaimIdentifierType	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBClaimInpatientInstitutionalDiagnosisType	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBClaimInstitutionalCareTeamRole	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBClaimOutpatientInstitutionalDiagnosisType	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBClaimPharmacyTeamRole	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBClaimProcedureType	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBClaimProfessionalAndNonClinicianCareTeamRole	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBClaimProfessionalAndNonClinicianDiagnosisType	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBEOBInstitutionalProcedureCodes	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBInstitutionalClaimSubType	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBOrganizationIdentifierType	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBPatientIdentifierType	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBPayeeType	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBPayerBenefitPaymentStatus	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBPayerClaimPaymentStatusCode	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBPayerProviderNetworkStatus	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBPractitionerIdentifierType	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBProfessionalAndNonClinicianClaimSubType	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBProfessionalAndNonClinicianClaimType	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBRelatedClaimRelationshipCodes	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBSupportingInfoType	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBSurfaceCodes	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBTotalCategoryDiscriminator	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-C4BBTransportationServiceCategories	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-CDCICD910CMDiagnosisCodes	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-CMSICD910PCSProcedureCodes	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-CMSMS3MAPAPRDRG	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-CMSPlaceofServiceCodes	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-CMSPresentOnAdmissionIndicator	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-FDANDCOrCompound	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-FDANationalDrugCode	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-NCPDPBrandGenericIndicator	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-NCPDPCompoundCode	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-NCPDPDispensedAsWrittenOrProductSelectionCode	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-NCPDPPrescriptionOriginCode	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-NCPDPRejectCode	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-OralBodySite	0	0	0
/scratch/repo/fsh-generated/resources/ValueSet-X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes	0	0	0
/scratch/repo/input/images	0	0	0
/scratch/repo/input/images/CARIN BB Diagram 20200917 - FHIR-26783 - FHIR-28243 updated IG	0	0	0
/scratch/repo/input/images/CARIN Blue Button Framework_072219_BCBSA_11192019	0	0	0
/scratch/repo/input/images/CARIN Mapping to FHIR 2020 1026	0	0	0
/scratch/repo/input/images/CARIN for Blue Button Mapping Overview 0820 2020 - FHIR-25704	0	0	0
/scratch/repo/input/images/CARINBBResources	0	0	0
/scratch/repo/input/images/CARINBBResources_0831	0	0	0
/scratch/repo/input/images/CARINBBResourcesv17	0	0	0
/scratch/repo/input/images/CARINProfileComparison	0	0	0
/scratch/repo/input/images/CARINSequence	0	0	0
/scratch/repo/input/images/CARIN_BB_Profile_Relationship_Diagram	0	0	0
/scratch/repo/input/images/CARINforBlueButtonProfileComparison	0	0	0
/scratch/repo/input/images/CARINforBlueButtonProfileComparisonOverview	0	0	0
/scratch/repo/input/images/CPCDS Data Dictionary and Resource Mapping Tables 0615 2020	0	0	0
/scratch/repo/input/images/CPCDSDataDictionary	0	0	0
/scratch/repo/input/images/CPCDStoFHIRProfilesMapping	0	0	0
/scratch/repo/input/images/CarinBBResources-old	0	0	0
/scratch/repo/input/images/DocumentationOfCPCDSToFHIRProfilesMapping	0	0	0
/scratch/repo/input/images/EOBProfileComparison	0	0	0
/scratch/repo/input/images/EOBRender	0	0	0
/scratch/repo/input/images/EOBtypes	0	0	0
/scratch/repo/input/images/Example_EOB_Mapping	0	0	0
/scratch/repo/input/images/OtherProfileComparison	0	0	0
/scratch/repo/input/images/PDexVsCARINBB	0	0	0
/scratch/repo/input/images/SidebySideProfiles	0	0	0
/scratch/repo/input/images/UseCaseDiagram	0	0	0
/scratch/repo/input/images/UseCaseDiagram	0	0	0
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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)

en/StructureDefinition-C4BB-ExplanationOfBenefit.html

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en/StructureDefinition-C4BB-Organization.html

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The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause: '.meta.lastUpdated: Payers SHALL provide the last time the data was updated or the date of creation in the payer’s system of record, whichever comes last. Apps will use the meta.lastUpdated value to determine if the Reference resources are as of the current date or date of service. ' CONFORMANCE_STATEMENT_WORD

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Suppressed Messages (Warnings, hints, broken links)

01. === INFORMATION: Previously defined CodeSystems currently in use by implementers. Will leave for an STU Update with the intent to make the change during a major version ===

INFORMATION: CodeSystem/C4BBAdjudication: CodeSystem: Most code systems defined in HL7 IGs will need to move to THO later during the process. Consider giving this code system a THO URL now (See https://confluence.hl7.org/display/TSMG/Terminology+Play+Book, and/or talk to TSMG) (1 uses)
INFORMATION: CodeSystem/C4BBAdjudicationDiscriminator: CodeSystem: Most code systems defined in HL7 IGs will need to move to THO later during the process. Consider giving this code system a THO URL now (See https://confluence.hl7.org/display/TSMG/Terminology+Play+Book, and/or talk to TSMG) (1 uses)
INFORMATION: CodeSystem/C4BBClaimCareTeamRole: CodeSystem: Most code systems defined in HL7 IGs will need to move to THO later during the process. Consider giving this code system a THO URL now (See https://confluence.hl7.org/display/TSMG/Terminology+Play+Book, and/or talk to TSMG) (1 uses)
INFORMATION: CodeSystem/C4BBClaimDiagnosisType: CodeSystem: Most code systems defined in HL7 IGs will need to move to THO later during the process. Consider giving this code system a THO URL now (See https://confluence.hl7.org/display/TSMG/Terminology+Play+Book, and/or talk to TSMG) (1 uses)
INFORMATION: CodeSystem/C4BBClaimProcedureType: CodeSystem: Most code systems defined in HL7 IGs will need to move to THO later during the process. Consider giving this code system a THO URL now (See https://confluence.hl7.org/display/TSMG/Terminology+Play+Book, and/or talk to TSMG) (1 uses)
INFORMATION: CodeSystem/C4BBCompoundLiteral: CodeSystem: Most code systems defined in HL7 IGs will need to move to THO later during the process. Consider giving this code system a THO URL now (See https://confluence.hl7.org/display/TSMG/Terminology+Play+Book, and/or talk to TSMG) (1 uses)
INFORMATION: CodeSystem/C4BBIdentifierType: CodeSystem: Most code systems defined in HL7 IGs will need to move to THO later during the process. Consider giving this code system a THO URL now (See https://confluence.hl7.org/display/TSMG/Terminology+Play+Book, and/or talk to TSMG) (1 uses)
INFORMATION: CodeSystem/C4BBInstitutionalClaimSubType: CodeSystem: Most code systems defined in HL7 IGs will need to move to THO later during the process. Consider giving this code system a THO URL now (See https://confluence.hl7.org/display/TSMG/Terminology+Play+Book, and/or talk to TSMG) (1 uses)
INFORMATION: CodeSystem/C4BBPayeeType: CodeSystem: Most code systems defined in HL7 IGs will need to move to THO later during the process. Consider giving this code system a THO URL now (See https://confluence.hl7.org/display/TSMG/Terminology+Play+Book, and/or talk to TSMG) (1 uses)
INFORMATION: CodeSystem/C4BBPayerAdjudicationStatus: CodeSystem: Most code systems defined in HL7 IGs will need to move to THO later during the process. Consider giving this code system a THO URL now (See https://confluence.hl7.org/display/TSMG/Terminology+Play+Book, and/or talk to TSMG) (1 uses)
INFORMATION: CodeSystem/C4BBRelatedClaimRelationshipCodes: CodeSystem: Most code systems defined in HL7 IGs will need to move to THO later during the process. Consider giving this code system a THO URL now (See https://confluence.hl7.org/display/TSMG/Terminology+Play+Book, and/or talk to TSMG) (1 uses)
INFORMATION: CodeSystem/C4BBSupportingInfoType: CodeSystem: Most code systems defined in HL7 IGs will need to move to THO later during the process. Consider giving this code system a THO URL now (See https://confluence.hl7.org/display/TSMG/Terminology+Play+Book, and/or talk to TSMG) (1 uses)

02. === INFORMATION: The following code systems are external and not supported by terminology server, and cannot be validated in examples. Wild card matching because terminology servers are providing different messages ===

A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/ADAAreaOralCavitySystem' could not be found, so the code cannot be validated (2 uses)
A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/NCPDPBrandGenericIndicator' could not be found, so the code cannot be validated (2 uses)
A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/NCPDPCompoundCode' could not be found, so the code cannot be validated (2 uses)
A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/NCPDPDispensedAsWrittenOrProductSelectionCode' could not be found, so the code cannot be validated (2 uses)
A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/NCPDPPrescriptionOriginCode' could not be found, so the code cannot be validated (2 uses)
A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated (6 uses)
A definition for CodeSystem 'https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets' could not be found, so the code cannot be validated (4 uses)
A definition for CodeSystem 'https://www.nubc.org/CodeSystem/PatDischargeStatus' could not be found, so the code cannot be validated (4 uses)
A definition for CodeSystem 'https://www.nubc.org/CodeSystem/PointOfOrigin' could not be found, so the code cannot be validated (4 uses)
A definition for CodeSystem 'https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit' could not be found, so the code cannot be validated (4 uses)
A definition for CodeSystem 'https://www.nubc.org/CodeSystem/RevenueCodes' could not be found, so the code cannot be validated (34 uses)
A definition for CodeSystem 'https://www.nubc.org/CodeSystem/TypeOfBill' could not be found, so the code cannot be validated (4 uses)
Resolved system https://x12.org/codesystem.x12.org/ambulance-transport-reason-codes (v1.0.0), but the definition doesn't include any codes, so the code has not been validated% (2 uses)

03. === Suggestion to pin canonical for an artifact that is inherited by this guide. Cannot be directly addressed by this guide. ===

There are multiple different potential matches for the url 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '20250419', found versions: 20221118 (from us.nlm.vsac#0.18.0), 20250419 (from us.nlm.vsac#0.24.0). Suggested fix: change the canonical reference from 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591' to 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591|20250419' (1 uses)
There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '7.0.0', found versions: 6.1.0 (from hl7.fhir.us.core#6.1.0), 7.0.0 (from hl7.fhir.us.core#7.0.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage|7.0.0' (1 uses)
There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '7.0.0', found versions: 6.1.0 (from hl7.fhir.us.core#6.1.0), 7.0.0 (from hl7.fhir.us.core#7.0.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|7.0.0' (3 uses)
There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '7.0.0', found versions: 6.1.0 (from hl7.fhir.us.core#6.1.0), 7.0.0 (from hl7.fhir.us.core#7.0.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|7.0.0' (2 uses)
There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '7.0.0', found versions: 6.1.0 (from hl7.fhir.us.core#6.1.0), 7.0.0 (from hl7.fhir.us.core#7.0.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson|7.0.0' (1 uses)
There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '7.0.0', found versions: 6.1.0 (from hl7.fhir.us.core#6.1.0), 7.0.0 (from hl7.fhir.us.core#7.0.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state' to 'http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state|7.0.0' (2 uses)
There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActIncidentCode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology.r4#7.0.1). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActIncidentCode' to 'http://terminology.hl7.org/ValueSet/v3-ActIncidentCode|3.0.0' (11 uses)
WARNING: StructureDefinition/C4BB-Patient: StructureDefinition.snapshot.element[104].binding.valueSet: There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/ValueSet/simple-language'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '7.0.0', found versions: 6.1.0 (from hl7.fhir.us.core#6.1.0), 7.0.0 (from hl7.fhir.us.core#7.0.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/ValueSet/simple-language' to 'http://hl7.org/fhir/us/core/ValueSet/simple-language|7.0.0' (1 uses)
WARNING: StructureDefinition/C4BB-Patient: StructureDefinition.snapshot.element[16].type[0].profile[0]: There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '7.0.0', found versions: 6.1.0 (from hl7.fhir.us.core#6.1.0), 7.0.0 (from hl7.fhir.us.core#7.0.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race|7.0.0' (1 uses)
WARNING: StructureDefinition/C4BB-Patient: StructureDefinition.snapshot.element[17].type[0].profile[0]: There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '7.0.0', found versions: 6.1.0 (from hl7.fhir.us.core#6.1.0), 7.0.0 (from hl7.fhir.us.core#7.0.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity|7.0.0' (1 uses)
WARNING: StructureDefinition/C4BB-Patient: StructureDefinition.snapshot.element[18].type[0].profile[0]: There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '7.0.0', found versions: 6.1.0 (from hl7.fhir.us.core#6.1.0), 7.0.0 (from hl7.fhir.us.core#7.0.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation|7.0.0' (1 uses)
WARNING: StructureDefinition/C4BB-Patient: StructureDefinition.snapshot.element[19].type[0].profile[0]: There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '7.0.0', found versions: 6.1.0 (from hl7.fhir.us.core#6.1.0), 7.0.0 (from hl7.fhir.us.core#7.0.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex|7.0.0' (1 uses)
WARNING: StructureDefinition/C4BB-Patient: StructureDefinition.snapshot.element[20].type[0].profile[0]: There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '7.0.0', found versions: 6.1.0 (from hl7.fhir.us.core#6.1.0), 7.0.0 (from hl7.fhir.us.core#7.0.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex|7.0.0' (1 uses)
WARNING: StructureDefinition/C4BB-Patient: StructureDefinition.snapshot.element[21].type[0].profile[0]: There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '7.0.0', found versions: 6.1.0 (from hl7.fhir.us.core#6.1.0), 7.0.0 (from hl7.fhir.us.core#7.0.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity|7.0.0' (1 uses)
WARNING: StructureDefinition/C4BB-Patient: StructureDefinition.snapshot.element[51].constraint[1].source: There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '7.0.0', found versions: 6.1.0 (from hl7.fhir.us.core#6.1.0), 7.0.0 (from hl7.fhir.us.core#7.0.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0' (1 uses)
WARNING: StructureDefinition/C4BB-Patient: StructureDefinition.snapshot.element[82].binding.valueSet: There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '7.0.0', found versions: 6.1.0 (from hl7.fhir.us.core#6.1.0), 7.0.0 (from hl7.fhir.us.core#7.0.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state' to 'http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state|7.0.0' (1 uses)

04. === Message regarding Issues inherited by the US Core version this IG is based on. ===

INFORMATION: StructureDefinition/C4BB-Coverage: StructureDefinition.snapshot.element[12].binding.extension[0]: The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.2.0 is deprecated (1 uses)
INFORMATION: StructureDefinition/C4BB-Coverage: StructureDefinition.snapshot.element[17].slicing.discriminator[0]: The discriminator type 'pattern' is deprecated in R5+. For future compatibility, you could consider using type=value with a pattern[x] instead (if this is not an inherited slicing) (1 uses)
INFORMATION: StructureDefinition/C4BB-Coverage: StructureDefinition.snapshot.element[37].slicing.discriminator[0]: The discriminator type 'pattern' is deprecated in R5+. For future compatibility, you could consider using type=value with a pattern[x] instead (if this is not an inherited slicing) (1 uses)
INFORMATION: StructureDefinition/C4BB-Organization: StructureDefinition.snapshot.element[17].slicing.discriminator[0]: The discriminator type 'pattern' is deprecated in R5+. For future compatibility, you could consider using type=value with a pattern[x] instead (if this is not an inherited slicing) (1 uses)
INFORMATION: StructureDefinition/C4BB-Organization: StructureDefinition.snapshot.element[19].pattern.ofType(Identifier): The repeating element has a pattern. The pattern will apply to all the repeats (this has not been clear to all users) (1 uses)
INFORMATION: StructureDefinition/C4BB-Organization: StructureDefinition.snapshot.element[20].pattern.ofType(Identifier): The repeating element has a pattern. The pattern will apply to all the repeats (this has not been clear to all users) (1 uses)
INFORMATION: StructureDefinition/C4BB-Organization: StructureDefinition.snapshot.element[21].pattern.ofType(Identifier): The repeating element has a pattern. The pattern will apply to all the repeats (this has not been clear to all users) (1 uses)
INFORMATION: StructureDefinition/C4BB-Organization: StructureDefinition.snapshot.element[22].pattern.ofType(Identifier): The repeating element has a pattern. The pattern will apply to all the repeats (this has not been clear to all users) (1 uses)
INFORMATION: StructureDefinition/C4BB-Practitioner: StructureDefinition.snapshot.element[17].slicing.discriminator[0]: The discriminator type 'pattern' is deprecated in R5+. For future compatibility, you could consider using type=value with a pattern[x] instead (if this is not an inherited slicing) (1 uses)
INFORMATION: StructureDefinition/C4BB-Practitioner: StructureDefinition.snapshot.element[19].pattern.ofType(Identifier): The repeating element has a pattern. The pattern will apply to all the repeats (this has not been clear to all users) (1 uses)
WARNING: StructureDefinition/C4BB-Organization: StructureDefinition.snapshot: The slice 'CLIA' on path 'Organization.identifier' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true (1 uses)
WARNING: StructureDefinition/C4BB-Organization: StructureDefinition.snapshot: The slice 'NAIC' on path 'Organization.identifier' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true (1 uses)
WARNING: StructureDefinition/C4BB-Patient: StructureDefinition.snapshot: The slice 'deceasedDateTime' on path 'Patient.deceased[x]' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true (1 uses)

05. === Conformance Verbs not marked as being in a conformance clause. Will address in next non-TC update ===

INFORMATION: en/CapabilityStatement-c4bb.html: The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause: ' This Section describes the expected capabilities of the C4BB Server actor which is responsible for providing responses to the queries submitted by the C4BB Requestors. The EOB Resource is the focal Consumer-Directed Payer Data Exchange (CDPDE) Resource. Several Reference Resources are defined directly/indirectly from the EOB: Coverage, Patient, Organization (Payer ID), Practioner, and Organization (Facility). The Coverage Reference Resource SHALL be returned with data that was effective as of the date of service of the claim; for example, the data will reflect the employer name in effect at that time. However, for other reference resources, payers MAY decide to provide either the data that was in effect as of the date of service or the current data. All reference resources within the EOB will have meta.lastUpdated flagged as must support. Payers SHALL provide the last time the data was updated or the date of creation in the payers system of record, whichever comes last. Apps will use the meta.lastUpdated values to determine if the reference resources are as of the current date or date of service. ' (1 uses)
INFORMATION: en/Common_Payer_Consumer_Data_Set.html: The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause: '' (1 uses)
INFORMATION: en/Conformance_Requirements.html: The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause: 'The conformance verbs - SHALL, SHOULD, MAY - used in this guide are defined in FHIR Conformance Rules.' (1 uses)
INFORMATION: en/General_Guidance.html: The html source contains the word 'MAY' but it is not in a text phrase marked as a conformance clause: 'Many of the codes used in this guide are proprietary with licensing requirements. While it is recommended that consumer apps acquire the necessary licenses to show descriptions for these codes, not all app developers may be in a position to do so. Because of this, payers MAY choose to provide a concept text [CodeableConcept].text or the coding display `[CodeableConcept].coding.display. It is the responsibility of the payer to make sure that the descriptions provided are correct.' (1 uses)
INFORMATION: en/Security_And_Privacy_Considerations.html: The html source contains the word 'MAY' but it is not in a text phrase marked as a conformance clause: 'However, to meet the statutes, regulations, and guiding principles above, consent directives and security labels MAY be considered and used.' (1 uses)
INFORMATION: en/StructureDefinition-C4BB-ExplanationOfBenefit-Oral-Basis.html: The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause: 'The line item primary body site (tooth or oral cavity) SHALL be specified in the .item.bodySite. Additional body sites (tooth or oral cavity) SHALL be specified in supportingInfo[additionalbodysite] repetitions with supportingInfo[additionalbodysite].sequence matching the line items .item.informationSequence' (1 uses)
INFORMATION: en/StructureDefinition-C4BB-ExplanationOfBenefit-Oral.html: The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause: 'The line item primary body site (tooth or oral cavity) SHALL be specified in the .item.bodySite. Additional body sites (tooth or oral cavity) SHALL be specified in supportingInfo[additionalbodysite] repetitions with supportingInfo[additionalbodysite].sequence matching the line items .item.informationSequence' (1 uses)
INFORMATION: en/Terminology_Licensure.html: The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause: 'This HL7 specification contains and references intellectual property owned by third parties ("Third Party IP"). Implementers and testers of this specification SHALL abide by the license requirements for each terminology content artifact utilized within a functioning implementation. Terminology licenses SHALL be obtained from the Third Party IP owner for each code system and/or other specified artifact used. It is the sole responsibility of each organization deploying or testing this specification to ensure their implementations comply with licensing requirements of each Third Party IP.' (1 uses)
INFORMATION: en/searchparameters.html: The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause: 'A Server SHALL be capable of supporting the following _includes: Coverage:payor - GET [base]/Coverage?_include=Coverage:payor' (1 uses)

06. === Reference to a draft CodeSystem which will be reviewed for the next breaking change balloted update. ===

INFORMATION: ValueSet/C4BBRelatedClaimRelationshipCodes: ValueSet.compose.include[0].concept[0]: Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship|1.0.0 (1 uses)
Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/claimcareteamrole|1.0.0 (6 uses)

07. === Code is deprecated, but included in a historical record from a time when it was not. The use of this code is proper. ===

The concept '0777-3105-02' has a status of inactive and its use should be reviewed (2 uses)

08. === WARNING about US Core IG not being the latest. THis was done on purpose as US Core 8 will not be required for some time and has some incompatibilities with US Core 7 ===

WARNING: ImplementationGuide/hl7.fhir.us.carin-bb: ImplementationGuide.dependsOn[1]: The ImplementationGuide uses package hl7.fhir.us.core#7.0.0 released on 2024-05-08, but the most recent appropriate version is 8.0.1. This reference is getting old and the more recent version should be considered (1 uses)

09. === WARNING about setting fmm. FMM will be determined and stated in the next balloted release ===

WARNING: ImplementationGuide/hl7.fhir.us.carin-bb: ImplementationGuide: HL7 Implementation Guides should state their maturity explicitly using the extension http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm (1 uses)

10. - INFORMATION: The following code systems are external or are otherwise not supported by terminology server, and cannot be validated in examples

Error from https://tx.fhir.org/r4: Error: The code System "http://www.ama-assn.org/go/cpt" has a grammar, and cannot be enumerated directly (2 uses)
The definition for the Code System with URI 'https://x12.org/codesystem.x12.org/ambulance-transport-reason-codes' doesn't provide any codes so the code cannot be validated (2 uses)
WARNING: ValueSet.where(id = 'ADADentalProcedureCode'): Error from https://tx.fhir.org/r4: Error: A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the value set cannot be expanded (2 uses)
WARNING: ValueSet.where(id = 'AHANUBCPatientDischargeStatus'): Error from https://tx.fhir.org/r4: Error: A definition for CodeSystem 'https://www.nubc.org/CodeSystem/PatDischargeStatus' could not be found, so the value set cannot be expanded (2 uses)
WARNING: ValueSet.where(id = 'AHANUBCPointOfOriginForAdmissionOrVisit'): Error from https://tx.fhir.org/r4: Error: A definition for CodeSystem 'https://www.nubc.org/CodeSystem/PointOfOrigin' could not be found, so the value set cannot be expanded (2 uses)
WARNING: ValueSet.where(id = 'AHANUBCPriorityTypeOfAdmissionOrVisit'): Error from https://tx.fhir.org/r4: Error: A definition for CodeSystem 'https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit' could not be found, so the value set cannot be expanded (2 uses)
WARNING: ValueSet.where(id = 'AHANUBCRevenueCodes'): Error from https://tx.fhir.org/r4: Error: A definition for CodeSystem 'https://www.nubc.org/CodeSystem/RevenueCodes' could not be found, so the value set cannot be expanded (2 uses)
WARNING: ValueSet.where(id = 'AHANUBCTypeOfBill'): Error from https://tx.fhir.org/r4: Error: A definition for CodeSystem 'https://www.nubc.org/CodeSystem/TypeOfBill' could not be found, so the value set cannot be expanded (2 uses)
WARNING: ValueSet.where(id = 'AMACPTCMSHCPCSModifiers'): Error from https://tx.fhir.org/r4: Error: The code System "http://www.ama-assn.org/go/cpt" has a grammar, and cannot be enumerated directly (2 uses)
WARNING: ValueSet.where(id = 'AMACPTCMSHCPCSProcedureCodes'): Error from https://tx.fhir.org/r4: Error: The code System "http://www.ama-assn.org/go/cpt" has a grammar, and cannot be enumerated directly (2 uses)
WARNING: ValueSet.where(id = 'C4BBAmbulanceTransportReasonCodes'): Error from https://tx.fhir.org/r4: Error: A definition for CodeSystem 'https://x12.org/codesystem.x12.org/ambulance-transport-reason-codes' could not be found, so the value set cannot be expanded (2 uses)
WARNING: ValueSet.where(id = 'CMSMS3MAPAPRDRG'): Error from https://tx.fhir.org/r4: Error: A definition for CodeSystem 'https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software' could not be found, so the value set cannot be expanded (2 uses)
WARNING: ValueSet.where(id = 'NCPDPBrandGenericIndicator'): Error from https://tx.fhir.org/r4: Error: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/NCPDPBrandGenericIndicator' could not be found, so the value set cannot be expanded (2 uses)
WARNING: ValueSet.where(id = 'NCPDPCompoundCode'): Error from https://tx.fhir.org/r4: Error: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/NCPDPCompoundCode' could not be found, so the value set cannot be expanded (2 uses)
WARNING: ValueSet.where(id = 'NCPDPDispensedAsWrittenOrProductSelectionCode'): Error from https://tx.fhir.org/r4: Error: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/NCPDPDispensedAsWrittenOrProductSelectionCode' could not be found, so the value set cannot be expanded (2 uses)
WARNING: ValueSet.where(id = 'NCPDPPrescriptionOriginCode'): Error from https://tx.fhir.org/r4: Error: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/NCPDPPrescriptionOriginCode' could not be found, so the value set cannot be expanded (2 uses)
WARNING: ValueSet.where(id = 'NCPDPRejectCode'): Error from https://tx.fhir.org/r4: Error: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/NCPDPRejectCode' could not be found, so the value set cannot be expanded (2 uses)
WARNING: ValueSet.where(id = 'OralBodySite'): Error from https://tx.fhir.org/r4: Error: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/ADAAreaOralCavitySystem' could not be found, so the value set cannot be expanded (2 uses)
WARNING: ValueSet.where(id = 'X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes'): Error from https://tx.fhir.org/r4: Error: A definition for CodeSystem 'https://x12.org/codes/claim-adjustment-reason-codes' could not be found, so the value set cannot be expanded (2 uses)

11. - Information about a valueSet Fragment

The value set references CodeSystem 'http://hl7.org/fhir/sid/icd-9-cm' which has status 'fragment' (2 uses)

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