Validation Results for CARINForDigitalInsuranceCard

Generated Tue Feb 03 01:59:59 UTC 2026, FHIR version 4.0.1 for hl7.fhir.us.insurance-card#2.0.0 (canonical = http://hl7.org/fhir/us/insurance-card (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.0.30
Publication Code:	insurance-card . PackageId = hl7.fhir.us.insurance-card, Canonical = http://hl7.org/fhir/us/insurance-card
Realm Check for US:	Snomed: The IG doesn't use SNOMED CT Profiles: All OK
Language Info:	Stated Languages: n/a. IG Resource Lang: n/a. 2 of 41 (4%) of resources have a language. Population Policy: NONE
Publication Request:	package-id hl7.fhir.us.insurance-card version 2.0.0 path http://hl7.org/fhir/us/insurance-card/STU2 Pub-Mode milestone status trial-use Release-Label STU 2.0 Sequence (Group) STU2 (current: 'STU1', others = 'STU 1') desc CARIN Digital Insurance Card descmd CARIN Digital Insurance Card RelatedIgs (None Found) No Messages found - all good
Supressed Messages:	41 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment hl7.fhir.us.insurance-card 2.0.0 R4 http://hl7.org/fhir/us/insurance-card 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 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 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.smart-health-cards-and-links 1.0.0 M R4 http://hl7.org/fhir/uv/smart-health-cards-and-links http://hl7.org/fhir/uv/smart-health-cards-and-links/STU1 hl7.terminology.r4 6.5.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.5.0 Latest Release is 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.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) hl7.fhir.uv.ips 2.0.0 M R4 http://hl7.org/fhir/uv/ips http://hl7.org/fhir/uv/ips/STU2 hl7.terminology.r4 6.5.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.5.0 (as above). Latest Release is 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 (as above) hl7.fhir.uv.ipa 1.1.0 M R4 http://hl7.org/fhir/uv/ipa http://hl7.org/fhir/uv/ipa/STU1.1 hl7.terminology.r4 6.2.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.2.0 Latest Release is 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 (as above) 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 hl7.fhir.us.davinci-drug-formulary 2.1.0 M R4 http://hl7.org/fhir/us/davinci-drug-formulary http://hl7.org/fhir/us/davinci-drug-formulary/STU2.1 hl7.terminology.r4 6.2.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.2.0 (as above). Latest Release is 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 (as above) hl7.fhir.us.core.v311 3.1.1 U R4 http://hl7.org/fhir/us/core/v311 http://hl7.org/fhir/us/core/STU3.1.1 hl7.fhir.us.core 3.1.1 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU3.1.1 Latest Release is 8.0.1 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 (as above). Latest Release is 8.0.1 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 (as above). 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 (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) 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.davinci-hrex 1.1.0 M R4 http://hl7.org/fhir/us/davinci-hrex http://hl7.org/fhir/us/davinci-hrex/STU1.1 hl7.terminology.r4 6.1.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.1.0 Latest Release is 7.0.1 hl7.fhir.uv.extensions.r4 5.1.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 Latest Release is 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 (as above). Latest Release is 8.0.1 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 (as above) hl7.fhir.us.core.v311 3.1.1 U R4 http://hl7.org/fhir/us/core/v311 http://hl7.org/fhir/us/core/STU3.1.1 (as above) us.nlm.vsac 0.19.0 O R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac Latest Release is 0.24.0 hl7.fhir.us.davinci-pdex-plan-net 1.2.0 M R4 http://hl7.org/fhir/us/davinci-pdex-plan-net http://hl7.org/fhir/us/davinci-pdex-plan-net/STU1.2 hl7.terminology.r4 6.2.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.2.0 (as above). Latest Release is 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 (as above) hl7.fhir.us.core.v311 3.1.1 U R4 http://hl7.org/fhir/us/core/v311 http://hl7.org/fhir/us/core/STU3.1.1 (as above) 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 (as above) hl7.fhir.us.core 7.0.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU7 (as above). Latest Release is 8.0.1 hl7.fhir.us.davinci-hrex 1.1.0 M R4 http://hl7.org/fhir/us/davinci-hrex http://hl7.org/fhir/us/davinci-hrex/STU1.1 (as above) hl7.terminology.r4 6.2.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.2.0 (as above). Latest Release is 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 (as above) hl7.fhir.uv.tools.r4 0.9.0 M R4 http://hl7.org/fhir/tools http://hl7.org/fhir/tools/0.9.0 Internal Dependency Templates: hl7.fhir.template#0.10.0 -> hl7.base.template#0.10.0 -> fhir.base.template#0.8.0
Related IGs:	n/a
Dependent IGs:	no references
Global Profiles:	(none declared)
Terminology Server(s):	http://tx.fhir.org/r4, https://tx-nordics.fhir.org/fhir/r4, https://tx.fhir.org/r4 (details)
HTA Analysis:	no Non-HL7 references found
R5 Dependencies:	http://hl7.org/fhir/5.0/StructureDefinition/extension-ImplementationGuide.dependsOn.reason
Draft Dependencies:	hl7.fhir.r4.core#4.0.1: GuideParameterCode (15 uses), DocumentReference (16 uses), CommonLanguages (8 uses), CommonTags (3 uses), Organization (16 uses), FinancialResourceStatusCodes (1 uses), RelatedPerson (3 uses), SubscriberRelationshipCodes (2 uses), CoverageClassCodes (10 uses), ExampleCoverageFinancialExceptionCodes (1 uses), Contract (1 uses), OrganizationType (1 uses), Endpoint (2 uses), Practitioner (1 uses), PractitionerRole (1 uses), Person (2 uses), InsurancePlan (2 uses), InsurancePlanType (1 uses), Location (2 uses), ContactEntityType (1 uses), BenefitCostApplicability (1 uses), CoverageCopayTypeCodes (1 uses) hl7.fhir.uv.extensions.r4#5.2.0: SDStatusDerivation (58 uses) hl7.terminology.r4#6.5.0: ContactEntityType (3 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Comparison with version 1.1.0
IPA Comparison:	n/a
IPS Comparison:	n/a
Validation Flags:	On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Summary:	errors = 0, warn = 3, info = 5, broken links = 0, pinned = n/a. Show Message Ids

n/a Show Validation Information

fsh-generated/resources/ImplementationGuide-hl7.fhir.us.insurance-card.json Show Validation Information (1)

Suppressed Messages (Warnings, hints, broken links)

CMS maintained Payer IDs

• %https://www.cms.gov/CCIIO/Resources/Data-Resources/hios% (1 uses)

Duplicate anchor IDs in extension HTML is a known IG Publisher rendering issue

• %The html source has duplicate anchor Ids% (19 uses)

Example URLs

• %No definition could be found for URL value 'https://www.acmeinsurance.com% (2 uses)
• %No definition could be found for URL value 'https://www.xxxhealthplan.com% (2 uses)

IECColourManagement codes are not defined in THO.

• %http://terminology.hl7.org/CodeSystem/IECColourManagement% (9 uses)

ISO Color Codes can't be validated

• WARNING: Coverage/Example-Coverage-FSH: Coverage.extension[6].extension[0].value.ofType(CodeableConcept).coding[0].system: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/IECColourManagement' could not be found, so the code cannot be validated (0 uses)
• WARNING: Coverage/Example-Coverage-FSH: Coverage.extension[6].extension[0].value.ofType(CodeableConcept): A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/IECColourManagement' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/insurance-card/ValueSet/ISOColorVS|1.1.0' because the code system http://terminology.hl7.org/CodeSystem/IECColourManagement was not found (0 uses)
• WARNING: Coverage/Example-Coverage-FSH: Coverage.extension[6].extension[0].value.ofType(CodeableConcept): Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/insurance-card/ValueSet/ISOColorVS|1.1.0' because the code system http://terminology.hl7.org/CodeSystem/IECColourManagement was not found (0 uses)
• WARNING: Coverage/Example-Coverage-FSH: Coverage.extension[6].extension[1].value.ofType(CodeableConcept).coding[0].system: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/IECColourManagement' could not be found, so the code cannot be validated (0 uses)
• WARNING: Coverage/Example-Coverage-FSH: Coverage.extension[6].extension[1].value.ofType(CodeableConcept): A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/IECColourManagement' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/insurance-card/ValueSet/ISOColorVS|1.1.0' because the code system http://terminology.hl7.org/CodeSystem/IECColourManagement was not found (0 uses)
• WARNING: Coverage/Example-Coverage-FSH: Coverage.extension[6].extension[1].value.ofType(CodeableConcept): Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/insurance-card/ValueSet/ISOColorVS|1.1.0' because the code system http://terminology.hl7.org/CodeSystem/IECColourManagement was not found (0 uses)
• WARNING: Coverage/Example-Coverage-FSH: Coverage.extension[6].extension[2].value.ofType(CodeableConcept).coding[0].system: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/IECColourManagement' could not be found, so the code cannot be validated (0 uses)
• WARNING: Coverage/Example-Coverage-FSH: Coverage.extension[6].extension[2].value.ofType(CodeableConcept): A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/IECColourManagement' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/insurance-card/ValueSet/ISOColorVS|1.1.0' because the code system http://terminology.hl7.org/CodeSystem/IECColourManagement was not found (0 uses)
• WARNING: Coverage/Example-Coverage-FSH: Coverage.extension[6].extension[2].value.ofType(CodeableConcept): Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/insurance-card/ValueSet/ISOColorVS|1.1.0' because the code system http://terminology.hl7.org/CodeSystem/IECColourManagement was not found (0 uses)
• WARNING: Coverage/Example-Coverage1: Coverage.extension[6].extension[0].value.ofType(CodeableConcept).coding[0].system: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/IECColourManagement' could not be found, so the code cannot be validated (1 uses)
• WARNING: Coverage/Example-Coverage1: Coverage.extension[6].extension[0].value.ofType(CodeableConcept): A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/IECColourManagement' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/insurance-card/ValueSet/ISOColorVS|1.1.0' because the code system http://terminology.hl7.org/CodeSystem/IECColourManagement was not found (0 uses)
• WARNING: Coverage/Example-Coverage1: Coverage.extension[6].extension[0].value.ofType(CodeableConcept): Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/insurance-card/ValueSet/ISOColorVS|1.1.0' because the code system http://terminology.hl7.org/CodeSystem/IECColourManagement was not found (0 uses)
• WARNING: Coverage/Example-Coverage1: Coverage.extension[6].extension[1].value.ofType(CodeableConcept).coding[0].system: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/IECColourManagement' could not be found, so the code cannot be validated (1 uses)
• WARNING: Coverage/Example-Coverage1: Coverage.extension[6].extension[1].value.ofType(CodeableConcept): A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/IECColourManagement' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/insurance-card/ValueSet/ISOColorVS|1.1.0' because the code system http://terminology.hl7.org/CodeSystem/IECColourManagement was not found (0 uses)
• WARNING: Coverage/Example-Coverage1: Coverage.extension[6].extension[1].value.ofType(CodeableConcept): Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/insurance-card/ValueSet/ISOColorVS|1.1.0' because the code system http://terminology.hl7.org/CodeSystem/IECColourManagement was not found (0 uses)
• WARNING: Coverage/Example-Coverage1: Coverage.extension[6].extension[2].value.ofType(CodeableConcept).coding[0].system: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/IECColourManagement' could not be found, so the code cannot be validated (1 uses)
• WARNING: Coverage/Example-Coverage1: Coverage.extension[6].extension[2].value.ofType(CodeableConcept): A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/IECColourManagement' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/insurance-card/ValueSet/ISOColorVS|1.1.0' because the code system http://terminology.hl7.org/CodeSystem/IECColourManagement was not found (0 uses)
• WARNING: Coverage/Example-Coverage1: Coverage.extension[6].extension[2].value.ofType(CodeableConcept): Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/insurance-card/ValueSet/ISOColorVS|1.1.0' because the code system http://terminology.hl7.org/CodeSystem/IECColourManagement was not found (0 uses)
• WARNING: ValueSet.where(id = 'ISOColorVS'): Error from http://tx.fhir.org/r4: Unable to provide support for code system http://terminology.hl7.org/CodeSystem/IECColourManagement (0 uses)

Ignore Conformance language in structured content and change history files.

• %The html source contains the word 'SHALL'% (4 uses)
• %The html source contains the word 'SHOULD'% (5 uses)

Insurance cards do not require gender in the United States. See US Core ticket FHIR-34240.

• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient').baseDefinition: US FHIR Usage rules require that all profiles on Patient derive from the core US profile. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (0 uses)

SBC CodeSystems are experimental and will be evaluated for THO migration when they mature.

• %Most code systems defined in HL7 IGs will need to move to THO later during the process% (2 uses)

The IG Publisher will select the most appropriate version; this warning is expected

• %There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/% (3 uses)

This applies to multiple identifier slices (NPI, CLIA, NAIC, payerid) in Organization profile

• %C4DIC-Organization%The repeating element has a pattern. The pattern will apply to all the repeats% (0 uses)

This comes from base FHIR R4 structures and cannot be directly controlled by this IG.

• %The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet%is deprecated% (0 uses)

Transitive dependencies may reference other versions

• %There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/% (16 uses)

Unresolvable CapabilityStatement Version-Specific Link - This CapabilityStatement has not been published yet.

• %is a canonical link and is therefore unsafe with regard to versions% (7 uses)
• %is a canonical reference, and is unsafe because of version handling (points to the current version, not this version)% (7 uses)

Upgrading to US Core 8.x would require significant changes and is planned for a future release

• WARNING: ImplementationGuide.dependsOn[0]: The ImplementationGuide uses package hl7.fhir.us.core#6.1.0%This reference is getting old and the more recent version should be considered (0 uses)

Using wildcards to cover any version of these draft CodeSystems

• %Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/contactentity-type% (4 uses)
• %Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/coverage-class% (0 uses)
• %Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/coverage-copay-type% (0 uses)

Variance requested from Cross-Products Group. Upgrade to US Core 6.1.0 or later to be considered for next Update. FHIR-43300 - US Core Coverage variance, FHIR-43303 - US Core Coverage variance.

• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Coverage').baseDefinition: US FHIR Usage rules require that all profiles on Coverage derive from the core US profile. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (0 uses)

Will be addressed when migrating to R5

• %The discriminator type 'pattern' is deprecated in R5+% (10 uses)

hl7.terminology.r4 6.2.0 chosen for stability; 7.0.1 may have breaking changes

• WARNING: ImplementationGuide.dependsOn[4]: The ImplementationGuide uses package hl7.terminology.r4#6.2.0%This reference is getting old and the more recent version should be considered (0 uses)

Errors sorted by type

IG_DEPENDENCY_VERSION_WARNING_OLD

MSG_DEPENDS_ON_DEPRECATED