Validation Results for ClinicalOrderWorkflows

Generated Fri Mar 13 15:45:23 UTC 2026, FHIR version 4.0.1 for hl7.fhir.uv.cow#1.0.0-ballot (canonical = http://hl7.org/fhir/uv/cow (history)). See Errors Only & IP

Quality Checks
Publisher Version:IG Publisher Version: v2.1.2
Publication Code:cow . PackageId = hl7.fhir.uv.cow, Canonical = http://hl7.org/fhir/uv/cow
Realm Check for UV:
  • n/a
Language Info:Stated Languages: n/a. IG Resource Lang: en. 8 of 22 (36%) of resources have a language. Population Policy: NONE
Publication Request:
RelatedIgs(None Found)
  • Version 1.0.0-ballot has already been published
  • This is not the first publication, so first must not be true
  • Publication Request is for version v1.0.0-ballot which is already published
Supressed Messages:7 Suppressed Issues
Dependency Checks:
PackageVersionFHIRCanonicalWeb BaseComment
.. hl7.fhir.uv.cow1.0.0-ballotR4http://hl7.org/fhir/uv/cow
... hl7.terminology.r47.1.0 MR4http://terminology.hl7.orghttp://terminology.hl7.org/7.1.0
.... hl7.fhir.uv.extensions.r45.2.0 MR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0
... hl7.fhir.uv.extensions.r45.2.0 MR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0 (as above)
... hl7.fhir.uv.subscriptions-backport.r41.1.0 MR4http://hl7.org/fhir/uv/subscriptions-backporthttp://hl7.org/fhir/uv/subscriptions-backport/STU1.1FHIR Version Mismatch
.... hl7.terminology.r45.0.0 OR4http://terminology.hl7.orghttp://terminology.hl7.org/5.0.0Latest Release is 7.1.0
Templates: hl7.fhir.template#current -> hl7.base.template#current -> fhir2.base.template#current
Related IGs:n/a
Dependent IGs:no references
Global Profiles:(none declared)
Terminology Server(s):http://tx.fhir.org/r4, https://tx.fhir.org/r4 (details)
HTA Analysis:no Non-HL7 references found
R5 Dependencies:
Draft Dependencies:
Modifier Extensions:(none)
Previous Version Comparison:
IPA Comparison: n/a
IPS Comparison: n/a
Validation Flags: On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Summary: errors = 1, warn = 2, info = 12, broken links = 7, pinned = n/a.
FilenameErrorsWarningsHints
Build Errors816
/scratch/repo/fsh-generated/includes/fsh-link-references000
/scratch/repo/fsh-generated/includes/menu000
/scratch/repo/fsh-generated/resources/ActorDefinition-filler000
/scratch/repo/fsh-generated/resources/ActorDefinition-placer000
/scratch/repo/fsh-generated/resources/Bundle-cow-notification-status-only-example000
/scratch/repo/fsh-generated/resources/CodeSystem-subscription-notification-status-type000
/scratch/repo/fsh-generated/resources/CodeSystem-temp000
/scratch/repo/fsh-generated/resources/ImplementationGuide-hl7.fhir.uv.cow010
/scratch/repo/fsh-generated/resources/MessageHeader-cow-message-header-example000
/scratch/repo/fsh-generated/resources/Parameters-cow-notification-status-example000
/scratch/repo/fsh-generated/resources/SearchParameter-activity-resource000
/scratch/repo/fsh-generated/resources/SearchParameter-group-or-identifier000
/scratch/repo/fsh-generated/resources/ServiceRequest-cow-service-request-example000
/scratch/repo/fsh-generated/resources/StructureDefinition-cancellation-request-task000
/scratch/repo/fsh-generated/resources/StructureDefinition-coordination-task006
/scratch/repo/fsh-generated/resources/StructureDefinition-cow-message-header000
/scratch/repo/fsh-generated/resources/StructureDefinition-cow-subscription-notification000
/scratch/repo/fsh-generated/resources/StructureDefinition-cow-subscription-status000
/scratch/repo/fsh-generated/resources/Task-cow-authorization-cancellation-task-example000
/scratch/repo/fsh-generated/resources/Task-cow-cancellation-task-example000
/scratch/repo/fsh-generated/resources/Task-cow-coordination-task-example000
/scratch/repo/fsh-generated/resources/ValueSet-business-status000
/scratch/repo/fsh-generated/resources/ValueSet-message-header-event000
/scratch/repo/fsh-generated/resources/ValueSet-order-notification-status-type000
/scratch/repo/input/images000
/scratch/repo/input/images/information-svgrepo-com000
/scratch/repo/input/images/relation-of-placer-request-task-output-filler000
/scratch/repo/input/images/request-accept000
/scratch/repo/input/images/request-bid000
/scratch/repo/input/images/request-central000
/scratch/repo/input/images/request-claim000
/scratch/repo/input/images/request-patient000
/scratch/repo/input/images/request-simplest000
/scratch/repo/input/images/sharing-info-with-intermediaries000
/scratch/repo/input/includes/img000
/scratch/repo/input/includes/svg000
/scratch/repo/input/pagecontent/background000
/scratch/repo/input/pagecontent/cancelling-and-modifying-requests000
/scratch/repo/input/pagecontent/comparing-with-HL7-v2-orders000
/scratch/repo/input/pagecontent/coordinating-across-servers000
/scratch/repo/input/pagecontent/core-concepts000
/scratch/repo/input/pagecontent/details-of-using-task-and-requests000
/scratch/repo/input/pagecontent/documenting-workflows000
/scratch/repo/input/pagecontent/ex1-simple-lab-order-flow000
/scratch/repo/input/pagecontent/ex2-simple-lab-order-flow-with-phlebotomist000
/scratch/repo/input/pagecontent/ex3-lab-order-flow-reflex-initiated-lab000
/scratch/repo/input/pagecontent/ex4-meds-grouped-dispense000
/scratch/repo/input/pagecontent/ex5-lab-order-flow-specimen-rejected000
/scratch/repo/input/pagecontent/ex6-lab-order-flow-with-reference-lab000
/scratch/repo/input/pagecontent/ex7-discharge-placement000
/scratch/repo/input/pagecontent/examples000
/scratch/repo/input/pagecontent/fhir-exchange-architectures000
/scratch/repo/input/pagecontent/fulfiller-determination000
/scratch/repo/input/pagecontent/fulfiller-need-for-additional-info000
/scratch/repo/input/pagecontent/fulfiller-request-for-additional-info000
/scratch/repo/input/pagecontent/fulfiller-selection000
/scratch/repo/input/pagecontent/grouped-related-and-dependent-orders000
/scratch/repo/input/pagecontent/grouping000
/scratch/repo/input/pagecontent/index000
/scratch/repo/input/pagecontent/intro-to-tasks-requests-and-events000
/scratch/repo/input/pagecontent/order-content000
/scratch/repo/input/pagecontent/order-initiation000
/scratch/repo/input/pagecontent/ordering-workflows000
/scratch/repo/input/pagecontent/placer-assignment000
/scratch/repo/input/pagecontent/sharing-content000
/scratch/repo/input/pagecontent/tracking-workflow-progress000
/scratch/repo/input/pagecontent/workflow-patterns000
/scratch/repo/input/pagecontent/workflow-state-overview000
/scratch/repo/input/pagecontent/zzzImplementationGuide-hl7.fhir.uv.cow000
/scratch/repo/input/pagecontent/zzzReflex Tests000
/scratch/repo/input/pagecontent/zzzpatient-mediated-requests000
/scratch/repo/input/pagecontent/zzzplacer-assignment000
/scratch/repo/input/pagecontent/zzzrequest-with-acceptance000
/scratch/repo/input/pagecontent/zzzrequest-with-multiple-potential-performers000
/scratch/repo/input/pagecontent/zzzrequest-with-multiple-potential-performers-with-bidding000
/scratch/repo/input/pagecontent/zzzrequests-to-central-coordinator000
/scratch/repo/temp/pages/_includes/artifacts000
/scratch/repo/template/config000
/scratch/repo/template/config/_config000

n/a Show Validation Information

ImplementationGuide/hl7.fhir.uv.cowerrorThis IG is version 4.0.1, while the IG 'hl7.fhir.uv.subscriptions-backport.r4' is from version 4.0.0
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)
en/background.htmlinformationThe html source contains the word 'MAY' but it is not in a text phrase marked as a conformance clause: 'Subscriptions provide two optional features that support order, referral, and transfer workflows: SubscriptionTopics: a data-holder MAY make a SubscriptionTopic available to which authorized data requestors may subscribe for updates. Such "dynamic subscriptions" let an actor specify their own endpoint, events of interest, and desired format from a menu of options chosen by the data holder. This is purely optional within Subscriptions: administrators may instead discuss updates out of band and manually configure Subscriptions, just as administrators do for HL7v2 interfaces today. Query guidance: subscription-notifications can include instructions for how a recipient may query for additional information later. For instance, if insurance coverage might change between when a referral is created and when service should be provided, the subscription-notification sent for the referral can guide a Fulfiller on how to retrieve updated Coverage data if or when it is needed later. ' CONFORMANCE_STATEMENT_WORD
en​/cancelling-and-modifying-requests​.htmlinformationThe html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause: 'Within COW, Request resource SHALL only be directly modified by the party which instantiated that resource. Parties may send Request and Task resources with an .intent of “Proposal” when they would like to suggest that another party change or cancel one of their Requests. If these changes are accepted, the original Request may be updated or a new Request may be created, optionally with Request.replaces referring back to the original Request.' CONFORMANCE_STATEMENT_WORD
en​/comparing-with-HL7-v2-orders​.html​#​/html​/body​/div​/div​/div​/div​/div​/p​/a at Line 268, column 110errorThe link '[url](https://hl7.org/fhir/messaging.html)' for "FHIR message bundle" cannot be resolved HTML_LINK_CHECK_FAILED
en​/comparing-with-HL7-v2-orders​.html​#​/html​/body​/div​/div​/div​/div​/div​/p​/a at Line 301, column 69errorThe link '[url](https://hl7.org/fhir/subscriptions.html)' for "Subscription framework" cannot be resolved HTML_LINK_CHECK_FAILED
en​/coordinating-across-servers​.html​#​/html​/body​/div​/div​/div​/div​/div​/ul​/li​/a at Line 273, column 8errorThe link '[url](https://hl7.org/fhir/references.html#logical)' for "Logical references" cannot be resolved HTML_LINK_CHECK_FAILED
en​/coordinating-across-servers​.html​#​/html​/body​/div​/div​/div​/div​/div​/ul​/li​/a at Line 274, column 24errorThe link '[url](https://hl7.org/fhir/references.html#contained)' for "Contained resources" cannot be resolved HTML_LINK_CHECK_FAILED
en​/coordinating-across-servers​.html​#​/html​/body​/div​/div​/div​/div​/div​/p​/a at Line 313, column 175errorThe link '[url](https://confluence.hl7.org/spaces/FHIR/pages/144967060/Intermediaries+White+Paper)' for "here" cannot be resolved HTML_LINK_CHECK_FAILED
en/core-concepts.htmlinformationThe html source contains the word 'MAY' but it is not in a text phrase marked as a conformance clause: 'In this guide, a Coordination Task serves a core role of helping a placer and a specific potential, or eventual fulfiller manage the fulfillment of that request. Many Tasks MAY correspond to the same ServiceRequest, with a Coordination Tasks for each placer and (potential) fulfiller pair. In environments where several potential fillers may each contribute a partial output (such as multiple pharmacies each providing a partial dispense), Placers may also initiate a 'parent' Coordination Task that they coordinate, in addition to the shared fulfiller-specific Coordination Tasks. The overall status of the workflow may be represented using Request.status and the presence of Outputs or via the parent Tasks's .businessStatus and .status. The page using Task provides additional guidance on the use of the Task resource.' CONFORMANCE_STATEMENT_WORD
en​/core-concepts​.html​#​/html​/body​/div​/div​/div​/div​/div​/p​/a at Line 276, column 781errorThe link 'using-task.html' for "using Task" cannot be resolved HTML_LINK_CHECK_FAILED
en​/fulfiller-need-for-additional-info​.htmlinformationThe html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause: 'A Fulfiller may find that additional information is needed that may only be obtained by communicating with the Placer asynchronously. While waiting for this information, the Fulfiller SHOULD update the status of their shared Coordination Task to indicate this by updating Task.businessStatus to an appropriate status.' CONFORMANCE_STATEMENT_WORD
en​/grouped-related-and-dependent-orders​.html​#​/html​/body​/div​/div​/div​/div​/div​/ul​/li​/ul​/li​/a at Line 316, column 253errorThe link 'using-task.html' for "using Task" cannot be resolved HTML_LINK_CHECK_FAILED
en​/intro-to-tasks-requests-and-events​.htmlinformationThe html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause: 'Sub-tasks that are created in relation to the overall Coordination Task SHOULD refer back to the Coordination Task via Task.partOf.' CONFORMANCE_STATEMENT_WORD
en/sharing-content.htmlinformationThe html source contains the word 'MAY' but it is not in a text phrase marked as a conformance clause: 'Placers may choose to create their own local representation of that content and additionally may host their own copy of that content on their FHIR server so that its information is discoverable for others involved in a patient's care. Provenance FHIR resources MAY be used to indicate that the originator of the latest version of the Output is the owner, though note that many Event resources will already implicitly indicate their source (such as in DiagnosticReport.performer and .resultsInterpreter).' CONFORMANCE_STATEMENT_WORD

fsh-generated/includes/fsh-link-references.md Show Validation Information (0)


fsh-generated/includes/menu.xml Show Validation Information (0)


fsh-generated/resources/ActorDefinition-filler.json Show Validation Information (1)


fsh-generated/resources/ActorDefinition-placer.json Show Validation Information (1)


fsh-generated/resources/Bundle-cow-notification-status-only-example.json Show Validation Information (4)


fsh-generated/resources/CodeSystem-subscription-notification-status-type.json Show Validation Information (1)


fsh-generated/resources/CodeSystem-temp.json Show Validation Information (1)


fsh-generated/resources/ImplementationGuide-hl7.fhir.uv.cow.json Show Validation Information (1)

PathSeverityMessage
ImplementationGuide​.dependsOn[2] (l1​/c2847)warningThe ImplementationGuide is based on FHIR version 4.0.1 but package hl7.fhir.uv.subscriptions-backport.r4#1.1.0 is based on FHIR version 4.0.0. 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

fsh-generated/resources/MessageHeader-cow-message-header-example.json Show Validation Information (1)


fsh-generated/resources/Parameters-cow-notification-status-example.json Show Validation Information (1)


fsh-generated/resources/SearchParameter-activity-resource.json Show Validation Information (1)


fsh-generated/resources/SearchParameter-group-or-identifier.json Show Validation Information (1)


fsh-generated/resources/ServiceRequest-cow-service-request-example.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-cancellation-request-task.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-coordination-task.json Show Validation Information (1)

PathSeverityMessage
StructureDefinition​.snapshot​.element[9]​.extension[0]​.extension[2] (l1​/c34161)Slicing InformationThis element does not match any known slice defined in the profile http://hl7.org/fhir/StructureDefinition/obligation|5.2.0 (this may not be a problem, but you should check that it's not intended to match a slice) Show Reasoning Details_for__matching_against_Profile_
StructureDefinition​.snapshot​.element[9]​.extension[1]​.extension[2] (l1​/c34532)Slicing InformationThis element does not match any known slice defined in the profile http://hl7.org/fhir/StructureDefinition/obligation|5.2.0 (this may not be a problem, but you should check that it's not intended to match a slice) Show Reasoning Details_for__matching_against_Profile_
StructureDefinition​.snapshot​.element[17]​.extension[0]​.extension[2] (l1​/c43032)Slicing InformationThis element does not match any known slice defined in the profile http://hl7.org/fhir/StructureDefinition/obligation|5.2.0 (this may not be a problem, but you should check that it's not intended to match a slice) Show Reasoning Details_for__matching_against_Profile_
StructureDefinition​.snapshot​.element[17]​.extension[1]​.extension[2] (l1​/c43403)Slicing InformationThis element does not match any known slice defined in the profile http://hl7.org/fhir/StructureDefinition/obligation|5.2.0 (this may not be a problem, but you should check that it's not intended to match a slice) Show Reasoning Details_for__matching_against_Profile_
StructureDefinition​.snapshot​.element[17]​.extension[2]​.extension[2] (l1​/c43774)Slicing InformationThis element does not match any known slice defined in the profile http://hl7.org/fhir/StructureDefinition/obligation|5.2.0 (this may not be a problem, but you should check that it's not intended to match a slice) Show Reasoning Details_for__matching_against_Profile_
StructureDefinition​.snapshot​.element[17]​.extension[3]​.extension[2] (l1​/c44156)Slicing InformationThis element does not match any known slice defined in the profile http://hl7.org/fhir/StructureDefinition/obligation|5.2.0 (this may not be a problem, but you should check that it's not intended to match a slice) Show Reasoning Details_for__matching_against_Profile_

fsh-generated/resources/StructureDefinition-cow-message-header.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-cow-subscription-notification.json Show Validation Information (1)


fsh-generated/resources/StructureDefinition-cow-subscription-status.json Show Validation Information (1)


fsh-generated/resources/Task-cow-authorization-cancellation-task-example.json Show Validation Information (1)


fsh-generated/resources/Task-cow-cancellation-task-example.json Show Validation Information (1)


fsh-generated/resources/Task-cow-coordination-task-example.json Show Validation Information (1)


fsh-generated/resources/ValueSet-business-status.json Show Validation Information (1)


fsh-generated/resources/ValueSet-message-header-event.json Show Validation Information (1)


fsh-generated/resources/ValueSet-order-notification-status-type.json Show Validation Information (1)


input/images Show Validation Information (0)


input/images/information-svgrepo-com.svg Show Validation Information (0)


input/images/relation-of-placer-request-task-output-filler.png Show Validation Information (0)


input/images/request-accept.png Show Validation Information (0)


input/images/request-bid.png Show Validation Information (0)


input/images/request-central.png Show Validation Information (0)


input/images/request-claim.png Show Validation Information (0)


input/images/request-patient.png Show Validation Information (0)


input/images/request-simplest.png Show Validation Information (0)


input/images/sharing-info-with-intermediaries.png Show Validation Information (0)


input/includes/img.html Show Validation Information (0)


input/includes/svg.html Show Validation Information (0)


input/pagecontent/background.md Show Validation Information (0)


input/pagecontent/cancelling-and-modifying-requests.md Show Validation Information (0)


input/pagecontent/comparing-with-HL7-v2-orders.md Show Validation Information (0)


input/pagecontent/coordinating-across-servers.md Show Validation Information (0)


input/pagecontent/core-concepts.md Show Validation Information (0)


input/pagecontent/details-of-using-task-and-requests.md Show Validation Information (0)


input/pagecontent/documenting-workflows.md Show Validation Information (0)


input/pagecontent/ex1-simple-lab-order-flow.md Show Validation Information (0)


input/pagecontent/ex2-simple-lab-order-flow-with-phlebotomist.md Show Validation Information (0)


input/pagecontent/ex3-lab-order-flow-reflex-initiated-lab.md Show Validation Information (0)


input/pagecontent/ex4-meds-grouped-dispense.md Show Validation Information (0)


input/pagecontent/ex5-lab-order-flow-specimen-rejected.md Show Validation Information (0)


input/pagecontent/ex6-lab-order-flow-with-reference-lab.md Show Validation Information (0)


input/pagecontent/ex7-discharge-placement.md Show Validation Information (0)


input/pagecontent/examples.md Show Validation Information (0)


input/pagecontent/fhir-exchange-architectures.md Show Validation Information (0)


input/pagecontent/fulfiller-determination.md Show Validation Information (0)


input/pagecontent/fulfiller-need-for-additional-info.md Show Validation Information (0)


input/pagecontent/fulfiller-request-for-additional-info.md Show Validation Information (0)


input/pagecontent/fulfiller-selection.md Show Validation Information (0)


input/pagecontent/grouped-related-and-dependent-orders.md Show Validation Information (0)


input/pagecontent/grouping.md Show Validation Information (0)


input/pagecontent/index.md Show Validation Information (0)


input/pagecontent/intro-to-tasks-requests-and-events.md Show Validation Information (0)


input/pagecontent/order-content.md Show Validation Information (0)


input/pagecontent/order-initiation.md Show Validation Information (0)


input/pagecontent/ordering-workflows.md Show Validation Information (0)


input/pagecontent/placer-assignment.md Show Validation Information (0)


input/pagecontent/sharing-content.md Show Validation Information (0)


input/pagecontent/tracking-workflow-progress.md Show Validation Information (0)


input/pagecontent/workflow-patterns.md Show Validation Information (0)


input/pagecontent/workflow-state-overview.md Show Validation Information (0)


input/pagecontent/zzzImplementationGuide-hl7.fhir.uv.cow.md Show Validation Information (0)


input/pagecontent/zzzReflex Tests.md Show Validation Information (0)


input/pagecontent/zzzpatient-mediated-requests.md Show Validation Information (0)


input/pagecontent/zzzplacer-assignment.md Show Validation Information (0)


input/pagecontent/zzzrequest-with-acceptance.md Show Validation Information (0)


input/pagecontent/zzzrequest-with-multiple-potential-performers.md Show Validation Information (0)


input/pagecontent/zzzrequest-with-multiple-potential-performers-with-bidding.md Show Validation Information (0)


input/pagecontent/zzzrequests-to-central-coordinator.md Show Validation Information (0)


temp/pages/_includes/artifacts.xml Show Validation Information (0)


template/config Show Validation Information (0)


template/config/_config.yml Show Validation Information (0)

Suppressed Messages (Warnings, hints, broken links)

=== CodeSystem for task code is now active, and the binding is extensible. Warning is not applicable

=== Extension is inherited, no control over it.

=== OID assignment for ActorDefinition profiles is not intended in the first ballot

=== There are two code systems, one is temporary with example codes, the other is necessary for the Subscription Backport to work in R4

=== ValueSet for subscription notification is not available in R4, it is added to this IG

The message is coming from the base ActorDefinition resource

Errors sorted by type


Details_for__matching_against_Profile_

fsh-generated/resources/StructureDefinition-coordination-task.jsonThis element does not match any known slice defined in the profile http://hl7.org/fhir/StructureDefinition/obligation|5.2.0 (this may not be a problem, but you should check that it's not intended to match a slice)
fsh-generated/resources/StructureDefinition-coordination-task.jsonThis element does not match any known slice defined in the profile http://hl7.org/fhir/StructureDefinition/obligation|5.2.0 (this may not be a problem, but you should check that it's not intended to match a slice)
fsh-generated/resources/StructureDefinition-coordination-task.jsonThis element does not match any known slice defined in the profile http://hl7.org/fhir/StructureDefinition/obligation|5.2.0 (this may not be a problem, but you should check that it's not intended to match a slice)
fsh-generated/resources/StructureDefinition-coordination-task.jsonThis element does not match any known slice defined in the profile http://hl7.org/fhir/StructureDefinition/obligation|5.2.0 (this may not be a problem, but you should check that it's not intended to match a slice)
fsh-generated/resources/StructureDefinition-coordination-task.jsonThis element does not match any known slice defined in the profile http://hl7.org/fhir/StructureDefinition/obligation|5.2.0 (this may not be a problem, but you should check that it's not intended to match a slice)
fsh-generated/resources/StructureDefinition-coordination-task.jsonThis element does not match any known slice defined in the profile http://hl7.org/fhir/StructureDefinition/obligation|5.2.0 (this may not be a problem, but you should check that it's not intended to match a slice)

IG_DEPENDENCY_VERSION_WARNING

fsh-generated/resources/ImplementationGuide-hl7.fhir.uv.cow.jsonThe ImplementationGuide is based on FHIR version 4.0.1 but package hl7.fhir.uv.subscriptions-backport.r4#1.1.0 is based on FHIR version 4.0.0. 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