Validation Results for DaVinciHealthRecordExchangeHRex

Generated Thu Apr 17 04:29:12 UTC 2025, FHIR version 4.0.1 for hl7.fhir.us.davinci-hrex#1.2.0-cibuild (canonical = http://hl7.org/fhir/us/davinci-hrex (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v1.8.23
Publication Code:	davinci-hrex . PackageId = hl7.fhir.us.davinci-hrex, Canonical = http://hl7.org/fhir/us/davinci-hrex
Realm Check for US:	Snomed: The IG specifies the US edition of SNOMED CT ✓ 2 Profiles not based on US Core
Language Info:	This IG has no language information
Publication Request:	package-id hl7.fhir.us.davinci-hrex path http://hl7.org/fhir/us/davinci-hrex/STU1.2 Pub-Mode milestone status trial-use Release-Label STU 1.1 Sequence (Group) STU 1.2 (current: 'STU 1.1', others = 'STU 1','STU1') desc STU 1.2.0 Release descmd STU 1.2.0 release bringing maturity to FMM3. See list of changes RelatedIgs (None Found) Publication Request is for v'1.2.0' but package version is v1.2.0-cibuild This release is labelled as a milestone, so should not have a patch version (1.2.0-cibuild)
Supressed Messages:	51 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment hl7.fhir.us.davinci-hrex 1.2.0-cibuild R4 http://hl7.org/fhir/us/davinci-hrex hl7.terminology.r4 6.2.0 U R4 http://terminology.hl7.org http://terminology.hl7.org/6.2.0 hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 hl7.fhir.us.core 7.0.0 M R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU7 hl7.terminology.r4 5.5.0 U R4 http://terminology.hl7.org http://terminology.hl7.org/5.5.0 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 0.21.0 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 U R5 http://terminology.hl7.org http://terminology.hl7.org/5.3.0 FHIR Version Mismatch 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 7.0.0 hl7.terminology.r4 5.0.0 U R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 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 M R4 http://hl7.org/fhir/uv/bulkdata http://hl7.org/fhir/uv/bulkdata/STU2 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 U R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 see above 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 0.21.0 hl7.fhir.uv.sdc 3.0.0 M R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 see above us.cdc.phinvads 0.12.0 M R4 http://fhir.org/packages/us.cdc.phinvads http://fhir.org/packages/us.cdc.phinvads see 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 1.3.0 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 7.0.0 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 0.21.0 Templates: hl7.davinci.template#current -> hl7.fhir.template#current -> hl7.base.template#current -> fhir.base.template#current. Tools: 0.4.1
Related IGs:	n/a
Dependent IGs:	13 guides
Global Profiles:	(none declared)
Terminology Server(s):	http://tx.fhir.org/r4 (details)
HTA Analysis:	All OK
R5 Dependencies:	http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.resourceTrigger http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.name http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.contact http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.publisher http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.jurisdiction http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.version http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.title http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.description http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.status http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.canFilterBy http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.date http://hl7.org/fhir/5.0/StructureDefinition/extension-ImplementationGuide.dependsOn.reason http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.url
Draft Dependencies:	hl7.fhir.r4.core#4.0.1: GuideParameterCode (15 uses), SignatureTypeCodes (2 uses), identifier (1 uses), patient (1 uses), payor (1 uses), subscriber (1 uses), target (1 uses), Consent (7 uses), CommonLanguages (10 uses), ConsentState (1 uses), ConsentScopeCodes (1 uses), ConsentCategoryCodes (2 uses), RelatedPerson (11 uses), Organization (17 uses), DocumentReference (2 uses), ConsentPolicyRuleCodes (1 uses), ConsentProvisionType (1 uses), SecurityRoleType (6 uses), Device (6 uses), Group (2 uses), CareTeam (1 uses), Practitioner (7 uses), PractitionerRole (7 uses), ConsentActionCodes (1 uses), ConsentContentClass (1 uses), ConsentContentCodes (1 uses), ConsentDataMeaning (1 uses), Coverage (2 uses), FinancialResourceStatusCodes (1 uses), CoverageClassCodes (3 uses), CoverageCopayTypeCodes (1 uses), ExampleCoverageFinancialExceptionCodes (1 uses), Contract (1 uses), OrganizationType (1 uses), ContactEntityType (1 uses), Endpoint (2 uses), HealthcareService (1 uses), Location (2 uses), ProvenanceActivityType (1 uses), ProvenanceParticipantType (2 uses), ProvenanceEntityRole (1 uses), Provenance (2 uses), Task (4 uses), ActivityDefinition (1 uses), TaskIntent (1 uses), RequestPriority (1 uses), Encounter (1 uses), ProcedurePerformerRoleCodes (1 uses), Claim (2 uses), ClaimResponse (1 uses), SubscriberRelationshipCodes (1 uses), TaskStatus (1 uses), code (1 uses), owner (1 uses), requester (1 uses), status (1 uses) hl7.fhir.uv.extensions.r4#5.2.0: SDStatusDerivation (52 uses), SDcompliesWithProfile (3 uses), TypeMustSupport (6 uses) hl7.terminology.r4#5.5.0: ConditionVerificationStatus (2 uses), ConditionCategoryCodes (2 uses), SubscriberRelationshipCodes (1 uses), CoverageClassCodes (12 uses), ConsentActionCodes (4 uses), ConsentScopeCodes (2 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Comparison with version 1.2.0
IPA Comparison:	n/a
IPS Comparison:	n/a
Validation Flags:	On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Summary:	errors = 12, warn = 9, info = 32, broken links = 1, pinned = 33 (when multiples). Show Message Ids

n/a Show Validation Information

fsh-generated/resources/Bundle-subscription-notification-with-document.json Show Validation Information (4)

fsh-generated/resources/Bundle-task-poll-response.json Show Validation Information (3)

fsh-generated/resources/ImplementationGuide-davinci-hrex.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-hrex-organization.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-hrex-practitionerrole.json Show Validation Information (1)

fsh-generated/resources/ValueSet-hrex-coverage-relationship.json Show Validation Information (1)

Suppressed Messages (Warnings, hints, broken links)

Consider adding this in the future. To this point, we havn't said that HRex actually has use-cases - FHIR-48917

• WARNING: DA VINCI: The second menu item under Background should have the label Use Cases. (1 uses)

Da Vinci doesn't have any conformance expectations itself - conformance expectations are determined by IGs that derive from HRex

• WARNING: DA VINCI: Da Vinci IGs SHOULD define CapabilityStatements. Without CapabilityStatements, there is no technical way to declare conformance to the IG. (1 uses)

Detailed changes weren't tracked until after 1.0.0 was released

• WARNING: DA VINCI: The Change Log page (history.html) does not include an h3 section for the version 0.1.0 (1 uses)
• WARNING: DA VINCI: The Change Log page (history.html) does not include an h3 section for the version 0.2.0 (1 uses)
• WARNING: DA VINCI: The Change Log page (history.html) does not include any Jira tracker items links for the section with title STU 1.0.0 (1 uses)

HRex can't depend on itself

• WARNING: DA VINCI: The Base Specs menu item must have a child called HRex 1.1.0. (1 uses)
• WARNING: DA VINCI: The Conformance page (conformance.html) Must Support section needs to include a link to the HRex conformance.html#mustsupport section. (1 uses)
• WARNING: DA VINCI: The Conformance page (conformance.html) needs to include a link to the HRex conformance.html page. (1 uses)
• WARNING: DA VINCI: The Security page (security.html) must include a reference to the HRex security.html page (with a SHALL comply). (1 uses)
• WARNING: DA VINCI: This IG does not depend on HRex. Either add a formal dependency or confirm that a textual dependency has been declared. (1 uses)

HRex needs Coverage pointing to a patient with no identifier - submitted to US Core https://jira.hl7.org/browse/FHIR-46468

• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-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 (1 uses)

HRex needs a patient with no identifier - US Realm approved: https://jira.hl7.org/browse/FHIR-33538, new proposal https://jira.hl7.org/browse/FHIR-46468

• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics').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 (1 uses)

Narrative doesn't make sense in resources passed to a real-time operation

• WARNING: Parameters/member-match-in-provider: Parameters.parameter[0].resource/*Patient/1*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)
• WARNING: Parameters/member-match-in-provider: Parameters.parameter[1].resource/*Coverage/9876B1*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)
• WARNING: Parameters/member-match-in-provider: Parameters.parameter[2].resource/*Consent/null*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)
• WARNING: Parameters/member-match-in: Parameters.parameter[0].resource/*Patient/1*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)
• WARNING: Parameters/member-match-in: Parameters.parameter[1].resource/*Coverage/9876B1*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)
• WARNING: Parameters/member-match-in: Parameters.parameter[2].resource/*Coverage/AA87654*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)
• WARNING: Parameters/member-match-in: Parameters.parameter[3].resource/*Consent/null*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)

The patterns are only locking down the system, which is the discriminator for the slices, so this is fine.

• INFORMATION: StructureDefinition/hrex-organization: StructureDefinition.snapshot.element[10].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/hrex-organization: StructureDefinition.snapshot.element[11].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/hrex-organization: StructureDefinition.snapshot.element[12].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)

The terminology validation here is incorrect in R4, but these codes are both valid

• INFORMATION: Bundle/subscription-notification-with-document: Bundle.entry[2].resource/*DocumentReference/287Q73J237*/.content[0].format: The code provided (urn:oid:1.3.6.1.4.1.19376.1.2.3#urn:ihe:pcc:apr:handp:2008) is not in the value set 'DocumentReference Format Code Set' (http://hl7.org/fhir/ValueSet/formatcodes|4.0.1), and a code is recommended to come from this value set (1 uses)
• INFORMATION: Bundle/task-poll-response: Bundle.entry[1].resource/*DocumentReference/c94fb961-310c-41f1-a54f-gd5325dgds7*/.content[0].format: The code provided (urn:oid:1.3.6.1.4.1.19376.1.2.3#urn:ihe:pcc:apr:handp:2008) is not in the value set 'DocumentReference Format Code Set' (http://hl7.org/fhir/ValueSet/formatcodes|4.0.1), and a code is recommended to come from this value set (1 uses)

There is no location in the IG where it makes sense to use this profile. It's created for downstream IGs. The definition is sufficiently simple that there's no possibility of errors in the construction.

• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-reference-id'): The Implementation Guide contains no examples for this data type profile (1 uses)

These additional coverage classes are not (currently) part of the profile and are not expected to match slices

• INFORMATION: Parameters/member-match-in: Parameters.parameter[1].resource/*Coverage/9876B1*/.class[2]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage|1.2.0-cibuild (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Parameters/member-match-in: Parameters.parameter[1].resource/*Coverage/9876B1*/.class[3]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage|1.2.0-cibuild (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)

These are inherited from US Core

• INFORMATION: StructureDefinition/hrex-organization: StructureDefinition.snapshot.element[9].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/hrex-provenance: StructureDefinition.snapshot.element[22].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)

These are termerminology server limitations

• Target Code System http://snomed.info/sct is only supported on the terminology server, so the target codes are not validated for performance reasons (2 uses)
• The concept map has too many codes to validate (1,123) (1 uses)

These are tested by the parameters input examples

• INFORMATION: StructureDefinition.where(url = 'http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-consent'): The Implementation Guide contains no explicitly linked examples for this profile (1 uses)
• INFORMATION: StructureDefinition.where(url = 'http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics'): The Implementation Guide contains no explicitly linked examples for this profile (1 uses)

These code systems are not currently supported by the Tx server - and the X12 ones likely won't ever be

• A definition for CodeSystem 'http://codesystem.x12.org/005010/1365' could not be found, so the code cannot be validated (0 uses)
• A definition for CodeSystem 'https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set' could not be found, so the code cannot be validated (0 uses)

These code systems should not be draft in THO. The terminology work group is trying to fix these

• Reference to draft CodeSystem http://hl7.org/fhir/task-status|4.0.1 (5 uses)
• Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/adjudication|1.0.0 (0 uses)
• Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/consentaction|1.0.0 (4 uses)
• Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/consentscope|2.0.0 (2 uses)
• Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/coverage-class|1.0.0 (4 uses)

These identifiers are 'extra' and aren't expected to match any slice

• INFORMATION: Organization/full: Organization.identifier[0]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-organization|1.2.0-cibuild (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Organization/full: Organization.identifier[4]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-organization|1.2.0-cibuild (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)

These vocabulary pins are selecting the desired versions

• %to 20240605 from choices of 20190418 (us.nlm.vsac#0.11.0), 20240605 (us.nlm.vsac#0.19.0) (4 uses)

This is an issue in the core spec

• %binds to the value set 'http://hl7.org/fhir/ValueSet/adjudication-error' which is experimental, but this structure is not labeled as experimental (0 uses)
• %binds to the value set 'http://hl7.org/fhir/ValueSet/consent-content-code' which is experimental, but this structure is not labeled as experimental (0 uses)
• %binds to the value set 'http://hl7.org/fhir/ValueSet/forms' which is experimental, but this structure is not labeled as experimental (0 uses)
• %binds to the value set 'http://hl7.org/fhir/ValueSet/fundsreserve' which is experimental, but this structure is not labeled as experimental (0 uses)
• %binds to the value set 'http://hl7.org/fhir/ValueSet/payeetype' which is experimental, but this structure is not labeled as experimental (0 uses)

This is an issue with the underlying R5 terminology and should be addressed via a system-wide update

• Reference to deprecated ValueSet http://hl7.org/fhir/5.0/ValueSet/jurisdiction|5.0.0 (1 uses)

This isn't actually a resource in R4, so can't point to it

• WARNING: DA VINCI: The How to Read page (fhir.html) needs to include a reference to the http://hl7.org/fhir/R4/subscriptiontopic.html because this IG uses the subscriptiontopic resource. (1 uses)

This will be done in a future release

• %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% (2 uses)

Errors sorted by type

Details_for__matching_against_Profile_

Extension_EXT_SubExtension_Invalid

Extension_PROF_Type

MSG_DEPENDS_ON_DEPRECATED

PIN_VERSION

TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE

Terminology_TX_NoValid_16

Type_Specific_Checks_DT_URL_Resolve

Validation_VAL_Profile_MatchMultiple

Validation_VAL_Profile_Minimum_SLICE