Validation Results for DEQM

Generated Wed Sep 16 14:40:09 UTC 2026, FHIR version 4.0.1 for hl7.fhir.uv.deqm#1.0.0 (canonical = http://hl7.org/fhir/uv/deqm (history)). See Full QA Report & IP

Quality Checks
Publisher Version:IG Publisher Version: v2.3.4
Publication Code:deqm . PackageId = hl7.fhir.uv.deqm, Canonical = http://hl7.org/fhir/uv/deqm
Realm Check for UV:
  • n/a
Language Info:Stated Languages: n/a. IG Resource Lang: en. 5 of 168 (2%) of resources have a language. Population Policy: NONE
Publication Request:
package-idhl7.fhir.uv.deqm
version1.0.0
pathhttp://hl7.org/fhir/uv/deqm/1.0.0
Pub-Modemilestone
statustrial-use
Release-LabelSTU 1
Sequence (Group)STU 1 (current: n/a, others = 'STU 1')
descSTU 1 Release (v1.0.0) of the Universal Realm Data Exchange for Quality Measures Implementation Guide.
descmd

STU 1 Release (v1.0.0) of the Universal Realm Data Exchange for Quality Measures Implementation Guide.

RelatedIgs(None Found)
No Messages found - all good
Supressed Messages:354 Suppressed Issues
Dependency Checks:
PackageVersionFHIRCanonicalWeb BaseComment
.. hl7.fhir.uv.deqm1.0.0R4http://hl7.org/fhir/uv/deqm
... hl7.terminology.r47.3.0 MR4http://terminology.hl7.orghttp://terminology.hl7.org/7.3.0
.... hl7.fhir.uv.extensions.r45.3.0 MR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.3.0
..... hl7.terminology.r47.1.0 OR4http://terminology.hl7.orghttp://terminology.hl7.org/7.1.0Latest Release is 7.3.0
...... hl7.fhir.uv.extensions.r45.2.0 OR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0Latest Release is 5.3.0
... hl7.fhir.uv.extensions.r45.3.0 MR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.3.0 (as above)
... hl7.fhir.uv.cqm2.0.0 MR4http://hl7.org/fhir/uv/cqmhttp://hl7.org/fhir/uv/cqm/2.0.0
.... hl7.terminology.r47.3.0 MR4http://terminology.hl7.orghttp://terminology.hl7.org/7.3.0 (as above)
.... hl7.fhir.uv.extensions.r45.3.0 MR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.3.0 (as above)
.... hl7.fhir.uv.crmi2.0.0 MR4http://hl7.org/fhir/uv/crmihttp://hl7.org/fhir/uv/crmi/STU2
..... hl7.terminology.r47.2.0 OR4http://terminology.hl7.orghttp://terminology.hl7.org/7.2.0Latest Release is 7.3.0
...... hl7.fhir.uv.extensions.r45.3.0 MR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.3.0 (as above)
..... hl7.fhir.uv.extensions.r45.3.0 MR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.3.0 (as above)
.... hl7.fhir.uv.cql2.0.0 MR4http://hl7.org/fhir/uv/cqlhttp://hl7.org/fhir/uv/cql/STU2
..... hl7.terminology.r46.5.0 OR4http://terminology.hl7.orghttp://terminology.hl7.org/6.5.0Latest Release is 7.3.0
...... hl7.fhir.uv.extensions.r45.2.0 OR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0
..... hl7.fhir.uv.extensions.r45.2.0 OR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0
... hl7.fhir.us.qicore7.0.1 OR4http://hl7.org/fhir/us/qicorehttp://hl7.org/fhir/us/qicore/STU7.0.1Internal Dependency. Latest Release is 7.0.2
... hl7.fhir.uv.tools.r41.1.2 OR4http://hl7.org/fhir/toolshttp://hl7.org/fhir/tools/1.1.2Internal Dependency. Latest Release is 1.2.0
Templates: hl7.davinci.template#current -> 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://tx.fhir.org/r4 (details)
HTA Analysis:no Non-HL7 references found
R5 Dependencies:
Draft Dependencies:
Modifier Extensions:
Previous Version Comparison: Comparison with version 1.0.0-ballot
IPA Comparison: n/a
IPS Comparison: n/a
Validation Flags: On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Summary: errors = 24, warn = 1, info = 0, broken links = 0, pinned = 1706 (all) (in manifest Parameters/manifest).
FilenameErrorsWarningsHints
Build Errors010
/scratch/repo/input/examples/Bundle-multiple-summ-report600
/scratch/repo/input/examples/MeasureReport-sde-example600
/scratch/repo/input/examples/Patient-sde-nhsn-iip-ip101600
/scratch/repo/input/examples/sde-example-patient-data-bundle600

n/a Show Validation Information

warningThe 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)

input/examples/Bundle-multiple-summ-report.json Show Validation Information (10)

PathSeverityMessageValidating
Bundle​.entry[1]​.resource​/*MeasureReport​/summ-medicare-stratification-example*​/​.group[0]​.stratifier[1] (l87​/c7)errorThe linkId 'Stratification 2' for this group stratifier has no match in the measure definition

Editor's Comment: Verified these stratifiers are present, there is a bug in the measure report validator, working on a fix, but the content is correct MEASURE_MR_GRP_STRAT_UNK_LINKID		--
Bundle​.entry[1]​.resource​/*MeasureReport​/summ-medicare-stratification-example*​/​.group[0]​.stratifier[1] (l87​/c7)errorThe code for this group stratifier has no match in the measure definition

Editor's Comment: Verified these stratifiers are present, there is a bug in the measure report validator, working on a fix, but the content is correct MEASURE_MR_GRP_STRAT_UNK_CODE		--
Bundle​.entry[1]​.resource​/*MeasureReport​/summ-medicare-stratification-example*​/​.group[0]​.stratifier[2] (l87​/c7)errorThe linkId 'Stratification 3' for this group stratifier has no match in the measure definition

Editor's Comment: Verified these stratifiers are present, there is a bug in the measure report validator, working on a fix, but the content is correct MEASURE_MR_GRP_STRAT_UNK_LINKID		--
Bundle​.entry[1]​.resource​/*MeasureReport​/summ-medicare-stratification-example*​/​.group[0]​.stratifier[2] (l87​/c7)errorThe code for this group stratifier has no match in the measure definition

Editor's Comment: Verified these stratifiers are present, there is a bug in the measure report validator, working on a fix, but the content is correct MEASURE_MR_GRP_STRAT_UNK_CODE		--
Bundle​.entry[1]​.resource​/*MeasureReport​/summ-medicare-stratification-example*​/​.group[0] (l87​/c7)errorThe MeasureReport does not include a stratifier for the stratifier with code 'http://example.org/stratification#Stratification 2' (id = 'null')

Editor's Comment: Verified these stratifiers are present, there is a bug in the measure report validator, working on a fix, but the content is correct MEASURE_MR_GRP_STRAT_MISSING_BY_CODE		--
Bundle​.entry[1]​.resource​/*MeasureReport​/summ-medicare-stratification-example*​/​.group[0] (l87​/c7)errorThe MeasureReport does not include a stratifier for the stratifier with code 'http://example.org/stratification#Stratification 3' (id = 'null')

Editor's Comment: Verified these stratifiers are present, there is a bug in the measure report validator, working on a fix, but the content is correct MEASURE_MR_GRP_STRAT_MISSING_BY_CODE		--

input/examples/MeasureReport-sde-example.json Show Validation Information (12)

PathSeverityMessageValidating
MeasureReport​.contained[0]​/*Patient​/nhsn-iip-ip101*​/​.extension[0]​.extension[3]​.value​.ofType(Coding) (l42​/c16)errorThe code provided (urn:oid:2.16.840.1.113883.6.238#1586-7) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#1586-7 ('Shoshone')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0'

Editor's Comment: The dependency on US Core 7 results in an older VSAC package being included in the dependency chain, and so the value set is being expanded with an older version of the CDC Race and Ethnicity value set. This _could_ be fixed by forcing the version of the code system to 1.3 in the manifest (verified this works), but then we would effectively be stating a force-code-system version for a code system we actually don't care about (it's an internal dependency to support examples only, none of the actual profiles or behavior depend on this code system), so leaving the QA errors is the better option. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/DEQM.20Validation.20Failure (from server, see log, or see the servers logic) Terminology_TX_Confirm_4a		Patient
MeasureReport​.contained[0]​/*Patient​/nhsn-iip-ip101*​/​.extension[0]​.extension[4]​.value​.ofType(Coding) (l50​/c16)errorThe code provided (urn:oid:2.16.840.1.113883.6.238#2036-2) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#2036-2 ('Filipino')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0'

Editor's Comment: The dependency on US Core 7 results in an older VSAC package being included in the dependency chain, and so the value set is being expanded with an older version of the CDC Race and Ethnicity value set. This _could_ be fixed by forcing the version of the code system to 1.3 in the manifest (verified this works), but then we would effectively be stating a force-code-system version for a code system we actually don't care about (it's an internal dependency to support examples only, none of the actual profiles or behavior depend on this code system), so leaving the QA errors is the better option. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/DEQM.20Validation.20Failure (from server, see log, or see the servers logic) Terminology_TX_Confirm_4a		Patient
MeasureReport​.contained[0]​/*Patient​/nhsn-iip-ip101*​/​.extension[1]​.extension[1]​.value​.ofType(Coding) (l75​/c16)errorCannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifier

Editor's Comment: The dependency on US Core 7 results in an older VSAC package being included in the dependency chain, and so the value set is being expanded with an older version of the CDC Race and Ethnicity value set. This _could_ be fixed by forcing the version of the code system to 1.3 in the manifest (verified this works), but then we would effectively be stating a force-code-system version for a code system we actually don't care about (it's an internal dependency to support examples only, none of the actual profiles or behavior depend on this code system), so leaving the QA errors is the better option. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/DEQM.20Validation.20Failure (from https://tx.fhir.org/r4, see log) 		Patient
MeasureReport​.contained[0]​/*Patient​/nhsn-iip-ip101*​/​.extension[1]​.extension[1]​.value​.ofType(Coding) (l75​/c16)errorThe code provided (urn:oid:2.16.840.1.113883.6.238#2069-3) was not found in the value set 'Detailed ethnicity' (http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity|7.0.0), and a code from this value set is required: Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifier

Editor's Comment: The dependency on US Core 7 results in an older VSAC package being included in the dependency chain, and so the value set is being expanded with an older version of the CDC Race and Ethnicity value set. This _could_ be fixed by forcing the version of the code system to 1.3 in the manifest (verified this works), but then we would effectively be stating a force-code-system version for a code system we actually don't care about (it's an internal dependency to support examples only, none of the actual profiles or behavior depend on this code system), so leaving the QA errors is the better option. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/DEQM.20Validation.20Failure (from server, see log) Terminology_TX_Confirm_4a		Patient
MeasureReport​.contained[0]​/*Patient​/nhsn-iip-ip101*​/​.extension[1]​.extension[2]​.value​.ofType(Coding) (l83​/c16)errorCannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifier

Editor's Comment: The dependency on US Core 7 results in an older VSAC package being included in the dependency chain, and so the value set is being expanded with an older version of the CDC Race and Ethnicity value set. This _could_ be fixed by forcing the version of the code system to 1.3 in the manifest (verified this works), but then we would effectively be stating a force-code-system version for a code system we actually don't care about (it's an internal dependency to support examples only, none of the actual profiles or behavior depend on this code system), so leaving the QA errors is the better option. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/DEQM.20Validation.20Failure (from https://tx.fhir.org/r4, see log) 		Patient
MeasureReport​.contained[0]​/*Patient​/nhsn-iip-ip101*​/​.extension[1]​.extension[2]​.value​.ofType(Coding) (l83​/c16)errorThe code provided (urn:oid:2.16.840.1.113883.6.238#2070-1) was not found in the value set 'Detailed ethnicity' (http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity|7.0.0), and a code from this value set is required: Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifier

Editor's Comment: The dependency on US Core 7 results in an older VSAC package being included in the dependency chain, and so the value set is being expanded with an older version of the CDC Race and Ethnicity value set. This _could_ be fixed by forcing the version of the code system to 1.3 in the manifest (verified this works), but then we would effectively be stating a force-code-system version for a code system we actually don't care about (it's an internal dependency to support examples only, none of the actual profiles or behavior depend on this code system), so leaving the QA errors is the better option. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/DEQM.20Validation.20Failure (from server, see log) Terminology_TX_Confirm_4a		Patient

input/examples/Patient-sde-nhsn-iip-ip101.json Show Validation Information (1)

PathSeverityMessageValidating
Patient​.extension[0]​.extension[3]​.value​.ofType(Coding) (l34​/c12)errorThe code provided (urn:oid:2.16.840.1.113883.6.238#1586-7) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#1586-7 ('Shoshone')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0'

Editor's Comment: The dependency on US Core 7 results in an older VSAC package being included in the dependency chain, and so the value set is being expanded with an older version of the CDC Race and Ethnicity value set. This _could_ be fixed by forcing the version of the code system to 1.3 in the manifest (verified this works), but then we would effectively be stating a force-code-system version for a code system we actually don't care about (it's an internal dependency to support examples only, none of the actual profiles or behavior depend on this code system), so leaving the QA errors is the better option. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/DEQM.20Validation.20Failure (from server, see log, or see the servers logic) Terminology_TX_Confirm_4a		Patient
Patient​.extension[0]​.extension[4]​.value​.ofType(Coding) (l42​/c12)errorThe code provided (urn:oid:2.16.840.1.113883.6.238#2036-2) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#2036-2 ('Filipino')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0'

Editor's Comment: The dependency on US Core 7 results in an older VSAC package being included in the dependency chain, and so the value set is being expanded with an older version of the CDC Race and Ethnicity value set. This _could_ be fixed by forcing the version of the code system to 1.3 in the manifest (verified this works), but then we would effectively be stating a force-code-system version for a code system we actually don't care about (it's an internal dependency to support examples only, none of the actual profiles or behavior depend on this code system), so leaving the QA errors is the better option. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/DEQM.20Validation.20Failure (from server, see log, or see the servers logic) Terminology_TX_Confirm_4a		Patient
Patient​.extension[1]​.extension[1]​.value​.ofType(Coding) (l67​/c12)errorCannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifier

Editor's Comment: The dependency on US Core 7 results in an older VSAC package being included in the dependency chain, and so the value set is being expanded with an older version of the CDC Race and Ethnicity value set. This _could_ be fixed by forcing the version of the code system to 1.3 in the manifest (verified this works), but then we would effectively be stating a force-code-system version for a code system we actually don't care about (it's an internal dependency to support examples only, none of the actual profiles or behavior depend on this code system), so leaving the QA errors is the better option. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/DEQM.20Validation.20Failure (from https://tx.fhir.org/r4, see log) 		Patient
Patient​.extension[1]​.extension[1]​.value​.ofType(Coding) (l67​/c12)errorThe code provided (urn:oid:2.16.840.1.113883.6.238#2069-3) was not found in the value set 'Detailed ethnicity' (http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity|7.0.0), and a code from this value set is required: Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifier

Editor's Comment: The dependency on US Core 7 results in an older VSAC package being included in the dependency chain, and so the value set is being expanded with an older version of the CDC Race and Ethnicity value set. This _could_ be fixed by forcing the version of the code system to 1.3 in the manifest (verified this works), but then we would effectively be stating a force-code-system version for a code system we actually don't care about (it's an internal dependency to support examples only, none of the actual profiles or behavior depend on this code system), so leaving the QA errors is the better option. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/DEQM.20Validation.20Failure (from server, see log) Terminology_TX_Confirm_4a		Patient
Patient​.extension[1]​.extension[2]​.value​.ofType(Coding) (l75​/c12)errorCannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifier

Editor's Comment: The dependency on US Core 7 results in an older VSAC package being included in the dependency chain, and so the value set is being expanded with an older version of the CDC Race and Ethnicity value set. This _could_ be fixed by forcing the version of the code system to 1.3 in the manifest (verified this works), but then we would effectively be stating a force-code-system version for a code system we actually don't care about (it's an internal dependency to support examples only, none of the actual profiles or behavior depend on this code system), so leaving the QA errors is the better option. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/DEQM.20Validation.20Failure (from https://tx.fhir.org/r4, see log) 		Patient
Patient​.extension[1]​.extension[2]​.value​.ofType(Coding) (l75​/c12)errorThe code provided (urn:oid:2.16.840.1.113883.6.238#2070-1) was not found in the value set 'Detailed ethnicity' (http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity|7.0.0), and a code from this value set is required: Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifier

Editor's Comment: The dependency on US Core 7 results in an older VSAC package being included in the dependency chain, and so the value set is being expanded with an older version of the CDC Race and Ethnicity value set. This _could_ be fixed by forcing the version of the code system to 1.3 in the manifest (verified this works), but then we would effectively be stating a force-code-system version for a code system we actually don't care about (it's an internal dependency to support examples only, none of the actual profiles or behavior depend on this code system), so leaving the QA errors is the better option. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/DEQM.20Validation.20Failure (from server, see log) Terminology_TX_Confirm_4a		Patient

input/examples/sde-example-patient-data-bundle.json Show Validation Information (14)

PathSeverityMessageValidating
Bundle​.entry[0]​.resource​/*Patient​/patient04*​/​.extension[0]​.extension[3]​.value​.ofType(Coding) (l46​/c34)errorThe code provided (urn:oid:2.16.840.1.113883.6.238#1586-7) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#1586-7 ('Shoshone')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0'

Editor's Comment: The dependency on US Core 7 results in an older VSAC package being included in the dependency chain, and so the value set is being expanded with an older version of the CDC Race and Ethnicity value set. This _could_ be fixed by forcing the version of the code system to 1.3 in the manifest (verified this works), but then we would effectively be stating a force-code-system version for a code system we actually don't care about (it's an internal dependency to support examples only, none of the actual profiles or behavior depend on this code system), so leaving the QA errors is the better option. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/DEQM.20Validation.20Failure (from server, see log, or see the servers logic) Terminology_TX_Confirm_4a		Patient
Bundle​.entry[0]​.resource​/*Patient​/patient04*​/​.extension[0]​.extension[4]​.value​.ofType(Coding) (l54​/c34)errorThe code provided (urn:oid:2.16.840.1.113883.6.238#2036-2) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#2036-2 ('Filipino')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0'

Editor's Comment: The dependency on US Core 7 results in an older VSAC package being included in the dependency chain, and so the value set is being expanded with an older version of the CDC Race and Ethnicity value set. This _could_ be fixed by forcing the version of the code system to 1.3 in the manifest (verified this works), but then we would effectively be stating a force-code-system version for a code system we actually don't care about (it's an internal dependency to support examples only, none of the actual profiles or behavior depend on this code system), so leaving the QA errors is the better option. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/DEQM.20Validation.20Failure (from server, see log, or see the servers logic) Terminology_TX_Confirm_4a		Patient
Bundle​.entry[0]​.resource​/*Patient​/patient04*​/​.extension[1]​.extension[1]​.value​.ofType(Coding) (l79​/c34)errorCannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifier

Editor's Comment: The dependency on US Core 7 results in an older VSAC package being included in the dependency chain, and so the value set is being expanded with an older version of the CDC Race and Ethnicity value set. This _could_ be fixed by forcing the version of the code system to 1.3 in the manifest (verified this works), but then we would effectively be stating a force-code-system version for a code system we actually don't care about (it's an internal dependency to support examples only, none of the actual profiles or behavior depend on this code system), so leaving the QA errors is the better option. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/DEQM.20Validation.20Failure (from https://tx.fhir.org/r4, see log) 		Patient
Bundle​.entry[0]​.resource​/*Patient​/patient04*​/​.extension[1]​.extension[1]​.value​.ofType(Coding) (l79​/c34)errorThe code provided (urn:oid:2.16.840.1.113883.6.238#2069-3) was not found in the value set 'Detailed ethnicity' (http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity|7.0.0), and a code from this value set is required: Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifier

Editor's Comment: The dependency on US Core 7 results in an older VSAC package being included in the dependency chain, and so the value set is being expanded with an older version of the CDC Race and Ethnicity value set. This _could_ be fixed by forcing the version of the code system to 1.3 in the manifest (verified this works), but then we would effectively be stating a force-code-system version for a code system we actually don't care about (it's an internal dependency to support examples only, none of the actual profiles or behavior depend on this code system), so leaving the QA errors is the better option. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/DEQM.20Validation.20Failure (from server, see log) Terminology_TX_Confirm_4a		Patient
Bundle​.entry[0]​.resource​/*Patient​/patient04*​/​.extension[1]​.extension[2]​.value​.ofType(Coding) (l87​/c34)errorCannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifier

Editor's Comment: The dependency on US Core 7 results in an older VSAC package being included in the dependency chain, and so the value set is being expanded with an older version of the CDC Race and Ethnicity value set. This _could_ be fixed by forcing the version of the code system to 1.3 in the manifest (verified this works), but then we would effectively be stating a force-code-system version for a code system we actually don't care about (it's an internal dependency to support examples only, none of the actual profiles or behavior depend on this code system), so leaving the QA errors is the better option. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/DEQM.20Validation.20Failure (from https://tx.fhir.org/r4, see log) 		Patient
Bundle​.entry[0]​.resource​/*Patient​/patient04*​/​.extension[1]​.extension[2]​.value​.ofType(Coding) (l87​/c34)errorThe code provided (urn:oid:2.16.840.1.113883.6.238#2070-1) was not found in the value set 'Detailed ethnicity' (http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity|7.0.0), and a code from this value set is required: Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifier

Editor's Comment: The dependency on US Core 7 results in an older VSAC package being included in the dependency chain, and so the value set is being expanded with an older version of the CDC Race and Ethnicity value set. This _could_ be fixed by forcing the version of the code system to 1.3 in the manifest (verified this works), but then we would effectively be stating a force-code-system version for a code system we actually don't care about (it's an internal dependency to support examples only, none of the actual profiles or behavior depend on this code system), so leaving the QA errors is the better option. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/DEQM.20Validation.20Failure (from server, see log) Terminology_TX_Confirm_4a		Patient

Suppressed Messages (Warnings, hints, broken links)

Accepted pinned versions

Accepted references to draft code systems

Additional resources not explicitly specified by the slicing are allowed

Attestation measures are a newer measure feature, currently working on adding this support to the FHIR validator

CAREGAP is the correct code, these messages are because the binding in the DetectedIssue resource itself is preferred

Composite measures are a newer feature, we are working on adding validator support

Conformance language will be handled at a later time

DaVinci Warnings, we have addressed the downloads issues, and plan to address the rest of these with the next publication

Examples intentionally referencing older versions of RxNorm

Expected reference to an older version of SNOMED as an example

Inherited message

Known example URL that we are intentionally preserving from the example source

Patch URIs that should not resolve generally, they are part of the patch process

Pinning is being used, so it is not clear why these are still not being pinned

R5 cross-version extension StructureDefinitions for Measure.group.linkId and Measure.group.population.linkId are not published in any dependency package — upstream CQM IG issue. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/Cross-Version.20Extension.20Slicing.20issue.20in.20dependent.20IGs

Relative sub-extension URLs within deqm-careGapRemark used in FHIR Patch Parameters — validator cannot resolve them outside extension context

The OID in this case is a canonical, and the version reference here is appropriate and needed to ensure the correct version of the code system is used (See Zulip thread: https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/Inconsistent.20behavior.20for.20urn.3Aoid.3A2.2E16.2E840.2E1.2E113883.2E6.2E238/with/583118192)

The bundle has a parameters resource but there is also a narrative with a parameters anchor

The dependency on US Core 7 results in an older VSAC package being included in the dependency chain, and so the value set is being expanded with an older version of the CDC Race and Ethnicity value set. This _could_ be fixed by forcing the version of the code system to 1.3 in the manifest (verified this works), but then we would effectively be stating a force-code-system version for a code system we actually don't care about (it's an internal dependency to support examples only, none of the actual profiles or behavior depend on this code system), so leaving the QA errors is the better option. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/DEQM.20Validation.20Failure

The example is intentionally using a CPT code outside the LOINC expectation

The globals table is listing QI Core profiles, but this is an internal dependency. See https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/Global.20profiles.20inherited.3F

The measure content is not relevant for the example

The publisher is having issues in auto-generating a narrative for the parameter examples, discussed here (https://chat.fhir.org/#narrow/stream/179252-IG-creation/topic/Parameter.20example.20narratives.20not.20being.20generated)

The validator is trying to resolve an "example.org" artifact which by convention does not exist

These are examples of a FHIRPath measure, the measure validator does not validate FHIRPath measure criteria

These are examples of non-computable measures using plain language to describe population criteria, so they cannot be validated formally

These code systems have been approved by TSMG: https://confluence.hl7.org/spaces/VOC/pages/288397544/2024-12-02+TI+Chair+Agenda+Minutes

This code system does not have codes in THO, the code comes from a US Core example though, so I assume it is correct

This code system has been approved by TSMG: https://confluence.hl7.org/spaces/TSMG/pages/324964674/2025-03-10+TSMG+Agenda+and+Minutes

This is an intentional deviation from the summary MeasureReport profile to illustrate backwards compatibility for measure specifications that do not have linkId elements (from STU5). Discussed on FMG 2026-08-19, approved as part of publication.

Validated these counts are correct

Verified the NUCC code is correct here, not clear why this is showing up now

Verified these are using the fulfill code that is a member of the value set and defined in the code system: https://hl7.org/fhir/R4/codesystem-task-code.html#task-code-fulfill Not clear why this message is happening

Verified these stratifiers are present, there is a bug in the measure report validator, working on a fix, but the content is correct

Errors sorted by type

MEASURE_MR_GRP_STRAT_MISSING_BY_CODE

input/examples/Bundle-multiple-summ-report.jsonThe MeasureReport does not include a stratifier for the stratifier with code 'http://example.org/stratification#Stratification 2' (id = 'null')--
input/examples/Bundle-multiple-summ-report.jsonThe MeasureReport does not include a stratifier for the stratifier with code 'http://example.org/stratification#Stratification 3' (id = 'null')--

MEASURE_MR_GRP_STRAT_UNK_CODE

input/examples/Bundle-multiple-summ-report.jsonThe code for this group stratifier has no match in the measure definition--
input/examples/Bundle-multiple-summ-report.jsonThe code for this group stratifier has no match in the measure definition--

MEASURE_MR_GRP_STRAT_UNK_LINKID

input/examples/Bundle-multiple-summ-report.jsonThe linkId 'Stratification 2' for this group stratifier has no match in the measure definition--
input/examples/Bundle-multiple-summ-report.jsonThe linkId 'Stratification 3' for this group stratifier has no match in the measure definition--

Terminology_TX_Confirm_4a

input/examples/MeasureReport-sde-example.jsonThe code provided (urn:oid:2.16.840.1.113883.6.238#1586-7) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#1586-7 ('Shoshone')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0'Patient
input/examples/MeasureReport-sde-example.jsonThe code provided (urn:oid:2.16.840.1.113883.6.238#2036-2) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#2036-2 ('Filipino')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0'Patient
input/examples/MeasureReport-sde-example.jsonThe code provided (urn:oid:2.16.840.1.113883.6.238#2069-3) was not found in the value set 'Detailed ethnicity' (http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity|7.0.0), and a code from this value set is required: Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifierPatient
input/examples/MeasureReport-sde-example.jsonThe code provided (urn:oid:2.16.840.1.113883.6.238#2070-1) was not found in the value set 'Detailed ethnicity' (http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity|7.0.0), and a code from this value set is required: Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifierPatient
input/examples/Patient-sde-nhsn-iip-ip101.jsonThe code provided (urn:oid:2.16.840.1.113883.6.238#1586-7) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#1586-7 ('Shoshone')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0'Patient
input/examples/Patient-sde-nhsn-iip-ip101.jsonThe code provided (urn:oid:2.16.840.1.113883.6.238#2036-2) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#2036-2 ('Filipino')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0'Patient
input/examples/Patient-sde-nhsn-iip-ip101.jsonThe code provided (urn:oid:2.16.840.1.113883.6.238#2069-3) was not found in the value set 'Detailed ethnicity' (http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity|7.0.0), and a code from this value set is required: Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifierPatient
input/examples/Patient-sde-nhsn-iip-ip101.jsonThe code provided (urn:oid:2.16.840.1.113883.6.238#2070-1) was not found in the value set 'Detailed ethnicity' (http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity|7.0.0), and a code from this value set is required: Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifierPatient
input/examples/sde-example-patient-data-bundle.jsonThe code provided (urn:oid:2.16.840.1.113883.6.238#1586-7) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#1586-7 ('Shoshone')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0'Patient
input/examples/sde-example-patient-data-bundle.jsonThe code provided (urn:oid:2.16.840.1.113883.6.238#2036-2) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#2036-2 ('Filipino')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|7.0.0'Patient
input/examples/sde-example-patient-data-bundle.jsonThe code provided (urn:oid:2.16.840.1.113883.6.238#2069-3) was not found in the value set 'Detailed ethnicity' (http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity|7.0.0), and a code from this value set is required: Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifierPatient
input/examples/sde-example-patient-data-bundle.jsonThe code provided (urn:oid:2.16.840.1.113883.6.238#2070-1) was not found in the value set 'Detailed ethnicity' (http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity|7.0.0), and a code from this value set is required: Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifierPatient