Generated Sat May 30 01:13:36 UTC 2026, FHIR version 4.0.1 for hl7.fhir.us.codex-radiation-therapy#2.0.0 (canonical = http://hl7.org/fhir/us/codex-radiation-therapy (history)). See Full QA Report & IP
| Quality Checks | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Publisher Version: | IG Publisher Version: v2.2.8 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Publication Code: | codex-radiation-therapy . PackageId = hl7.fhir.us.codex-radiation-therapy, Canonical = http://hl7.org/fhir/us/codex-radiation-therapy | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Realm Check for US: | Snomed: The IG specifies the US edition of SNOMED CT ✓ | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Language Info: | Stated Languages: n/a. IG Resource Lang: en. 1 of 167 (0%) of resources have a language. Population Policy: NONE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Publication Request: |
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| Supressed Messages: | 202 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://tx-nordics.fhir.org/fhir/r4, https://tx.fhir.org/r4 (details) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HTA Analysis: | All OK | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| R5 Dependencies: | (none) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Draft Dependencies: |
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| Modifier Extensions: | (none) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Previous Version Comparison: | Comparison with version last | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| IPA Comparison: | n/a | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| IPS Comparison: | n/a | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Validation Flags: | On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | errors = 1, warn = 9, info = 18, broken links = 0, pinned = n/a. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ImplementationGuide/hl7.fhir.us.codex-radiation-therapy | error | This IG is version 4.0.1, while the IG 'hl7.fhir.uv.ae-research-ig' is from version 5.0.0 |
| en/StructureDefinition-codexrt-intrafraction-verification.html | information | The html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause: 'One of the above types SHOULD be used. Use of other metrics will generate a warning.' CONFORMANCE_STATEMENT_WORD |
| en/StructureDefinition-codexrt-radiobiologic-metric.html | information | The html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause: 'One of the above metrics SHOULD be used. Use of other metrics will generate a warning.' CONFORMANCE_STATEMENT_WORD |
| en/StructureDefinition-codexrt-radiotherapy-course-prescription.html | information | The html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause: 'ServiceRequest resource instances whose code is SNOMEDCT 1217123003 (Radiotherapy course of treatment (regime/therapy)) and whose intent is http://hl7.org/fhir/request-intent#original-order "Original Order" MUST conform to this profile. Any resource intended to conform to this profile SHOULD populate meta.profile accordingly.' CONFORMANCE_STATEMENT_WORD |
| en/StructureDefinition-codexrt-radiotherapy-course-summary.html | information | The html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause: 'Procedure resources whose code is SNOMEDCT 1217123003 (Radiotherapy course of treatment (regime/therapy)) MUST conform to this profile. Any resource intended to conform to this profile SHOULD populate meta.profile accordingly.' CONFORMANCE_STATEMENT_WORD |
| en/StructureDefinition-codexrt-radiotherapy-fractions-planned.html | information | The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause: 'The number of planned fractions in this scope. This extension SHALL only be present if the treatment is structured as countable fractions, for example in a Radiotherapy Planned Phase or in a Radiotherapy Treatment Plan.' CONFORMANCE_STATEMENT_WORD |
| en/StructureDefinition-codexrt-radiotherapy-fractions-prescribed.html | information | The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause: 'The number of prescribed fractions in this scope. This extension SHALL only be present if the treatment is structured as countable fractions, for example in a Radiotherapy Phase Prescription.' CONFORMANCE_STATEMENT_WORD |
| en/StructureDefinition-codexrt-radiotherapy-phase-prescription.html | information | The html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause: 'ServiceRequest resource instances whose code is SNOMEDCT 1222565005 (Radiotherapy treatment phase (regime/therapy)) and whose intent is http://hl7.org/fhir/request-intent#original-order "Original Order" MUST conform to this profile. Any resource intended to conform to this profile SHOULD populate meta.profile accordingly.' CONFORMANCE_STATEMENT_WORD |
| en/StructureDefinition-codexrt-radiotherapy-plan-prescription.html | information | The html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause: 'ServiceRequest resource instances whose code is SNOMEDCT 1255724003 (Radiotherapy treatment plan (regime/therapy)) and whose intent is http://hl7.org/fhir/request-intent#original-order "Original Order" MUST conform to this profile. Any resource intended to conform to this profile SHOULD populate meta.profile accordingly.' CONFORMANCE_STATEMENT_WORD |
| en/StructureDefinition-codexrt-radiotherapy-planned-course.html | information | The html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause: 'ServiceRequest resource instances whose code is SNOMEDCT 1217123003 (Radiotherapy course of treatment (regime/therapy)) and whose intent is http://hl7.org/fhir/request-intent#filler-order "Filler Order" MUST conform to this profile. Any resource intended to conform to this profile SHOULD populate meta.profile accordingly.' CONFORMANCE_STATEMENT_WORD |
| en/StructureDefinition-codexrt-radiotherapy-planned-phase.html | information | The html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause: 'ServiceRequest resource instances whose code is SNOMEDCT 1222565005 (Radiotherapy treatment phase (regime/therapy)) and whose intent is http://hl7.org/fhir/request-intent#filler-order "Filler Order" MUST conform to this profile. Any resource intended to conform to this profile SHOULD populate meta.profile accordingly.' CONFORMANCE_STATEMENT_WORD |
| en/StructureDefinition-codexrt-radiotherapy-treated-fraction.html | information | The html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause: 'Procedure resources whose code is http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs#1297069006 "Fractionated dose radiotherapy (procedure)" MUST conform to this profile. Any resource intended to conform to this profile SHOULD populate meta.profile accordingly.' CONFORMANCE_STATEMENT_WORD |
| en/StructureDefinition-codexrt-radiotherapy-treated-phase.html | information | The html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause: 'Procedure resources whose code is SNOMEDCT 1222565005 (Radiotherapy treatment phase (regime/therapy)) MUST conform to this profile. Any resource intended to conform to this profile SHOULD populate meta.profile accordingly.' CONFORMANCE_STATEMENT_WORD |
| en/StructureDefinition-codexrt-radiotherapy-treated-plan.html | information | The html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause: 'Procedure resources whose code is SNOMEDCT 1255724003 (Radiotherapy treatment plan (regime/therapy)) MUST conform to this profile. Any resource intended to conform to this profile SHOULD populate meta.profile accordingly.' CONFORMANCE_STATEMENT_WORD |
| en/StructureDefinition-codexrt-radiotherapy-treatment-plan.html | information | The html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause: 'ServiceRequest resource instances whose code is SNOMEDCT 1255724003 (Radiotherapy treatment plan (regime/therapy)) and whose intent is http://hl7.org/fhir/request-intent#filler-order "Filler Order" MUST conform to this profile. Any resource intended to conform to this profile SHOULD populate meta.profile accordingly.' CONFORMANCE_STATEMENT_WORD |
| en/ValueSet-codexrt-radiotherapy-adverse-event-termVS.html | information | The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause: ' The NCI Common Terminology Criteria for Adverse Events (CTCAE) is utilized for Adverse Event (AE) reporting. The codes are drawn from the NCI Thesaurus. Each CTCAE term is a MedDRA LLT (Lowest Level Term) with corresponding codes that can be used in place of the NCI code. The value set is CTCAE 5.0 and corresponds to MedDRA version 20.1. See https://evs.nci.nih.gov/ftp1/CTCAE/CTCAE_5.0/NCIt_CTCAE_5.0.xlsx. Use of 'Other, specify': In the event a suitable CTCAE term cannot be found, the appropriate verbatim term SHALL be captured via the 'Other, specify' mechanism. In this case, the verbatim term is populated into the event.text field, the NCIT code for the body system into the event.coding.code field, and the display string corresponding to the code into the event.coding.display field. For example, if reporting the unusual adverse event 'Vulcan-green blood' it will be reported as: event.text of 'Vulcan-green blood', event.coding.display of 'Blood and lymphatic system disorders - Other, specify', and event.coding.code of NCIT code C143323. ' CONFORMANCE_STATEMENT_WORD |
| en/conformance.html | information | The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause: 'This section outlines requirements and recommendations for CodeX RT participants. The conformance verbs - SHALL, SHOULD, and MAY - are defined in FHIR Conformance Rules. The conformance verb MUST is a synonym for SHALL.' CONFORMANCE_STATEMENT_WORD |
| 5 | warning | The HTML fragment 'expansion-params.xhtml' is not included anywhere in the produced implementation guide |
| Path | Severity | Message | Validating |
| ImplementationGuide.dependsOn[1] (l1/c2629) | warning | The ImplementationGuide uses package hl7.fhir.uv.extensions.r4#5.1.0 released on 2024-04-27, but the most recent appropriate version is 5.3.0. This reference is getting old and the more recent version should be considered IG_DEPENDENCY_VERSION_WARNING_OLD | -- |
| ImplementationGuide.dependsOn[4] (l1/c3086) | warning | The ImplementationGuide is based on FHIR version 4.0.1 but package hl7.fhir.uv.ae-research-ig#1.0.1 is based on FHIR version 5.0.0. In general, this version mismatch should be avoided - some tools will try to make this work with variable degrees of success, but others will not even try IG_DEPENDENCY_VERSION_WARNING | -- |
| Path | Severity | Message | Validating |
| ServiceRequest (l1/c2) | warning | Constraint failed: CategoryPreferred: 'This code 108290001 is inactive and should be used only for backward compatibility. (category.exists() and category.coding.exists( code = '108290001' ).not())' (defined in http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-planned-course) http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-planned-course#CategoryPreferred | Radiotherapy Course Prescription |
| Path | Severity | Message | Validating |
| StructureDefinition.snapshot (l1/c291389) | warning | The slice 'terminationReason' on path 'Procedure.extension' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true | -- |
| Path | Severity | Message | Validating |
| StructureDefinition.where(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-seed-device').baseDefinition | warning | US FHIR Usage rules require that all profiles on Device derive from the core US profile. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process. Comparison with US Core Device Profile US_CORE_DERIVATION | -- |
| Path | Severity | Message | Validating |
| StructureDefinition.snapshot (l1/c303278) | warning | The slice 'radiotherapyDicomPlan' on path 'ServiceRequest.extension' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true | -- |
| Path | Severity | Message | Validating |
| ValueSet.where(id = 'codexrt-radiotherapy-adverse-event-termVS') | warning | Error from https://tx.fhir.org/r4: Error: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/MDRAE' could not be found, so the value set cannot be expanded (from server, see log) | -- |
| Path | Severity | Message | Validating |
| ValueSet.compose.include[0].concept[1] (l1/c3458) | warning | The concept '314846003' has a status of inactive and its use should be reviewed (from https://tx.fhir.org/r4, see log) INACTIVE_CONCEPT_FOUND | -- |
| ValueSet.compose.include[0] (l1/c3743) | information | This SNOMED-CT based include has some concepts with semantic tags (FSN terms) and some without (preferred terms) - check that this is what is intended (examples for FSN: [Radiotherapy course change due to acute radiotherapy toxicity (finding), Patient given choice of treatment (finding), Radiotherapy course change due to change to treatment intent (finding)] and examples for no FSN: [Radiotherapy course change due to changes to target, Radiotherapy course change due to change to organ at risk]) VALUESET_CONCEPT_DISPLAY_SCT_TAG_MIXED | -- |
Suppressed Messages (Warnings, hints, broken links)
CodexRT extends mCODE Radiotherapy Course Summary and that induces these info messages. There is no problem here.
All slices have been investigated and are expected
CodexRT Depends on the latest published ae-research-ig, and this issue relates to that IG, not codexRT.
CodexRT extends some mCODE Extensions and that induces these info messages. There is no problem here.
Deprecation message is new and does not refer to any element used in the current IG
HL7 Draft Codesystems are beyond our control
Retired extension -- yes included in the base mCODE profile for backward compatibility
SUPPRESS 'The discriminator type 'pattern' has been deprecated' WARNINGS that are in US Core 6.1.0. See Grahame Grieve's comment in https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/deprecated.20pattern.20slicing/near/482196925
Suppress warnings relating to HL7 MDRAE. HL7 does not have access to the content of the codesystem.
The concept '108290001' is included for legacy support and its use is flagged as an invariant warning
The following are tied to use of US Core 6.0.1 or the R4 base resources and are external to this guide
The following error is internal to the IG generator and can be ignored
The following warning is expected and the example demonstrates the invariant working successfully to warn the user about the now deprecated code
This instance tests an invariant CategoryPreferred that checks for an old code that is allowed for backwards compatibility only, and generates a warning
This message appeared following TSC approval of publication of STU 1.0 upgrading to newer versions will be considered in future updates
This requirement came into force following the approval of the CodexRT IG
Variances approved by CGP WG 3/14/24 https://jira.hl7.org/browse/FHIR-44941
https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/deprecated.20pattern.20slicing/near/482196925 -- Grahame says these can be ignored 11/25
radiotherapy volume examples include identifiers from system http://varian.com/fhir/identifier/.... and that is OK
Errors sorted by type
| fsh-generated/resources/ImplementationGuide-hl7.fhir.us.codex-radiation-therapy.json | The ImplementationGuide is based on FHIR version 4.0.1 but package hl7.fhir.uv.ae-research-ig#1.0.1 is based on FHIR version 5.0.0. In general, this version mismatch should be avoided - some tools will try to make this work with variable degrees of success, but others will not even try | -- |
| fsh-generated/resources/ImplementationGuide-hl7.fhir.us.codex-radiation-therapy.json | The ImplementationGuide uses package hl7.fhir.uv.extensions.r4#5.1.0 released on 2024-04-27, but the most recent appropriate version is 5.3.0. This reference is getting old and the more recent version should be considered | -- |
| fsh-generated/resources/ValueSet-codexrt-radiotherapy-reason-for-revision-or-adaptation-vs.json | The concept '314846003' has a status of inactive and its use should be reviewed | -- |
| fsh-generated/resources/StructureDefinition-codexrt-radiotherapy-seed-device.json | US FHIR Usage rules require that all profiles on Device derive from the core US profile. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process. Comparison with US Core Device Profile | -- |
| fsh-generated/resources/ValueSet-codexrt-radiotherapy-free-breathing-motion-mgmt-technique-vs.json | This SNOMED-CT based include has some concepts with semantic tags (FSN terms) and some without (preferred terms) - check that this is what is intended (examples for FSN: [External beam radiotherapy with respiratory gating (procedure), External beam radiotherapy using internal target volume approach (procedure), External beam radiotherapy with abdominal compression (procedure)] and examples for no FSN: [Real time tumour tracking external beam radiotherapy]) | -- |
| fsh-generated/resources/ValueSet-codexrt-radiotherapy-reason-for-revision-or-adaptation-vs.json | This SNOMED-CT based include has some concepts with semantic tags (FSN terms) and some without (preferred terms) - check that this is what is intended (examples for FSN: [Radiotherapy course change due to acute radiotherapy toxicity (finding), Patient given choice of treatment (finding), Radiotherapy course change due to change to treatment intent (finding)] and examples for no FSN: [Radiotherapy course change due to changes to target, Radiotherapy course change due to change to organ at risk]) | -- |