Validation Results for MinimalCommonOncologyDataElements

Generated Wed Nov 20 20:47:32 UTC 2024, FHIR version 4.0.1 for hl7.fhir.us.mcode#4.0.0 (canonical = http://hl7.org/fhir/us/mcode (history)). See Full QA Report

Quality Checks
Publisher Version:	IG Publisher Version: v1.7.3
Publication Code:	mcode . PackageId = hl7.fhir.us.mcode, Canonical = http://hl7.org/fhir/us/mcode
Realm Check for US:	Snomed: The IG specifies a different version (http://snomed.info/sct/900000000000207008/version/20240201) to the US edition of SNOMED CT version in the parameters (http://snomed.info/sct/731000124108) 5 Profiles not based on US Core
Publication Request:	package-id hl7.fhir.us.mcode version 4.0.0 path http://hl7.org/fhir/us/mcode/STU4 Pub-Mode milestone status trial-use Release-Label STU4 sequence STU4 desc minimal Common Oncology Data Elements (mCODE) STU4 descmd STU4 changes change_log.html No Messages found - all good
Supressed Messages:	86 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment hl7.fhir.us.mcode 4.0.0 R4 http://hl7.org/fhir/us/mcode hl7.terminology.r4 6.1.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/6.1.0 hl7.fhir.uv.extensions.r4 5.1.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 hl7.fhir.uv.genomics-reporting 2.0.0 M R4 http://hl7.org/fhir/uv/genomics-reporting http://hl7.org/fhir/uv/genomics-reporting/STU2 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 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 Latest Release is 6.1.0 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 5.1.0 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 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 see above. Latest Release is 6.1.0 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 0.20.0 hl7.fhir.uv.sdc 3.0.0 M R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 hl7.fhir.r4.examples 4.0.1 O R4 http://hl7.org/fhir http://hl7.org/fhir/R4 Latest Release is 5.0.0 us.cdc.phinvads 0.12.0 M R4 http://fhir.org/packages/us.cdc.phinvads http://fhir.org/packages/us.cdc.phinvads ihe.formatcode.fhir 1.1.0 O R4 https://profiles.ihe.net/fhir/ihe.formatcode.fhir https://profiles.ihe.net/fhir/ihe.formatcode.fhir/1.1.0 Latest Release is 1.3.0 Templates: hl7.fhir.us.mcode.ig-template#0.1.0 -> hl7.fhir.template#current -> hl7.base.template#current -> fhir.base.template#current. Tools: 0.3.0
Dependent IGs:	2 guides
Global Profiles:	(none declared)
Terminology Server(s):	http://tx.fhir.org/r4 (details)
HTA Analysis:	All OK
R5 Dependencies:	(none)
Draft Dependencies:	hl7.fhir.r4.core#4.0.1: GuideParameterCode (15 uses), observation-bodyweight (3 uses), code (8 uses), observation-bodyheight (1 uses), CommonLanguages (38 uses), CarePlan (31 uses), DeviceRequest (21 uses), ImmunizationRecommendation (23 uses), MedicationRequest (27 uses), NutritionOrder (22 uses), ServiceRequest (32 uses), MedicationAdministration (28 uses), MedicationDispense (23 uses), MedicationStatement (23 uses), Procedure (32 uses), Immunization (21 uses), ImagingStudy (49 uses), ObservationCategoryCodes (28 uses), Encounter (31 uses), PractitionerRole (43 uses), SNOMEDCTBodyStructures (27 uses), ObservationMethods (15 uses), Specimen (20 uses), Device (34 uses), DeviceMetric (25 uses), ObservationReferenceRangeMeaningCodes (25 uses), ObservationReferenceRangeAppliesToCodes (25 uses), QuestionnaireResponse (37 uses), MolecularSequence (50 uses), Media (26 uses), LOINCCodes (71 uses), Organization (28 uses), observation-vitalsigns (6 uses), Practitioner (30 uses), CareTeam (15 uses), RelatedPerson (24 uses), VitalSignsUnits (2 uses), DocumentReference (14 uses), MedicationAdministration Status Codes (1 uses), MedicationAdministration Category Codes (1 uses), Medication (3 uses), EpisodeOfCare (1 uses), MedicationAdministration Performer Function Codes (1 uses), SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (2 uses), SNOMEDCTRouteCodes (2 uses), SNOMEDCTAdministrationMethodCodes (2 uses), Provenance (2 uses), medicationrequest Status (1 uses), medicationRequest Intent (1 uses), medicationRequest Category Codes (2 uses), RequestPriority (1 uses), ProcedurePerformerRoleCodes (3 uses), medicationRequest Course of Therapy Codes (1 uses), Coverage (1 uses), ClaimResponse (1 uses), SNOMEDCTAdditionalDosageInstructions (1 uses), SNOMEDCTMedicationAsNeededReasonCodes (1 uses), DoseAndRateType (1 uses), UCUMCodes (1 uses), Common UCUM units (1 uses), DetectedIssue (1 uses), PlanDefinition (2 uses), ActivityDefinition (2 uses), Measure (2 uses), Questionnaire (2 uses), EventStatus (2 uses), ProcedureCategoryCodes(SNOMEDCT) (2 uses), Location (2 uses), ProcedureOutcomeCodes(SNOMEDCT) (2 uses), DiagnosticReport (3 uses), Composition (2 uses), Condition/Problem/DiagnosisCodes (2 uses), Condition (14 uses), ProcedureFollowUpCodes(SNOMEDCT) (2 uses), ProcedureDeviceActionCodes (2 uses), Substance (4 uses), FHIRDeviceTypes (2 uses), DiagnosticReportStatus (1 uses), DiagnosticServiceSectionCodes (2 uses), LOINCDiagnosticReportCodes (1 uses), SNOMEDCTClinicalFindings (1 uses), SpecimenStatus (1 uses), FHIRSpecimenCollectionMethod (1 uses), SpecimenProcessingProcedure (1 uses), SpecimenContainerType (1 uses), Group (2 uses), GroupType (1 uses), ConditionClinicalStatusCodes (2 uses), ConditionVerificationStatus (2 uses), ConditionCategoryCodes (2 uses), Condition/DiagnosisSeverity (2 uses), ConditionStage (2 uses), BodyStructure (2 uses), ClinicalImpression (1 uses), ConditionStageType (1 uses) hl7.fhir.uv.extensions.r4#5.1.0: TypeMustSupport (260 uses) hl7.fhir.uv.tools.r4#0.3.0: ResourceSortExt (349 uses) hl7.terminology.r4#6.1.0: MedicationRequestCategoryCodes (19 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Comparison with version true
IPA Comparison:	n/a
IPS Comparison:	n/a
Validation Flags:	On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Summary:	errors = 2, warn = 0, info = 0, broken links = 0

n/a Show Validation Information

fsh-generated/resources/Observation-genomic-variant-germline-deletion.json Show Validation Information (1)

Suppressed Messages (Warnings, hints, broken links)

All Slices have been validated

• INFORMATION: Bundle/mcode-patient-bundle-jenny-m: Bundle.entry[18].resource/*Observation/ecog-performance-status-jenny-m*/.category[0]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-ecog-performance-status|4.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Observation/ecog-performance-status-fully-active: Observation.category[0]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-ecog-performance-status|4.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Observation/ecog-performance-status-jenny-m: Observation.category[0]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-ecog-performance-status|4.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Observation/karnofsky-performance-status-normal-activity: Observation.category[0]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-karnofsky-performance-status|4.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Observation/lansky-performance-status-brian-l: Observation.category[0]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-lansky-play-performance-status|4.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)

ICD-o-3 Codes are valid

• Unknown Code 'C34.9 80463/3' in the system 'http://terminology.hl7.org/CodeSystem/icd-o-3' version '2000' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C34.9 8140/3' in the system 'http://terminology.hl7.org/CodeSystem/icd-o-3' version '2000' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (2 uses)

Known HGVS validation error, https://chat.fhir.org/#narrow/stream/179197-genomics/topic/Validation.20issue.20for.20HGVS.2FHGNC.20code. These error messages sometimes show 0 use, but when I remove them here, they appear again.

• ERROR: Observation/genomic-variant-germline-deletion: Observation.component[1].value.ofType(CodeableConcept).coding[0]: Error from http://tx.fhir.org/r4: Error parsing HGVS response: HTTP/1.1 500 Internal Server Error (1 uses)
• ERROR: Observation/genomic-variant-germline-deletion: Observation.component[1].value.ofType(CodeableConcept): None of the codings provided are in the value set 'Human Genome Variation Society (HGVS) Nomenclature' (http://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgvs-vs|2.0.0), and a coding from this value set is required) (codes = http://varnomen.hgvs.org#NG_005905.2:g.126148_126152del) (1 uses)

NCIT Codes Not Included in NCIT fragment CodeSystem resource, created a PR to add them

• INFORMATION: ValueSet/mcode-cancer-staging-method-vs: ValueSet.compose.include[1].concept[0]: Unknown Code 'C15432' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• INFORMATION: ValueSet/mcode-international-retinoblastoma-stage-value-vs: ValueSet.compose.include[0].concept[0]: Unknown Code 'C198180' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• INFORMATION: ValueSet/mcode-pretext-stage-value-vs: ValueSet.compose.include[0].concept[0]: Unknown Code 'C7139' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• INFORMATION: ValueSet/mcode-tnm-staging-method-vs: ValueSet.compose.include[1].concept[0]: Unknown Code 'C188404' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: Group/group-mcode-patients: Group.code.coding[0].code: Unknown Code 'C19700' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: Observation/histologic-grade-intermediate: Observation.code.coding[0].code: Unknown Code 'C18000' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: Observation/lansky-performance-status-brian-l: Observation.code.coding[0].code: Unknown Code 'C38144' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: Observation/lansky-play-performance-status-twenty: Observation.code.coding[0].code: Unknown Code 'C38144' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: Observation/multiple-myeloma-riss-stage-II: Observation.code.coding[0].code: Unknown Code 'C141392' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: Observation/rai-stage-II: Observation.code.coding[0].code: Unknown Code 'C141207' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: StructureDefinition/mcode-histologic-grade: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code: Unknown Code 'C18000' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: StructureDefinition/mcode-histologic-grade: StructureDefinition.snapshot.element[16].pattern.ofType(CodeableConcept).coding[0].code: Unknown Code 'C18000' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: StructureDefinition/mcode-lansky-play-performance-status: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code: Unknown Code 'C38144' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: StructureDefinition/mcode-lansky-play-performance-status: StructureDefinition.snapshot.element[15].pattern.ofType(CodeableConcept).coding[0].code: Unknown Code 'C38144' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: StructureDefinition/mcode-patient-group: StructureDefinition.differential.element[1].pattern.ofType(CodeableConcept).coding[0].code: Unknown Code 'C19700' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: StructureDefinition/mcode-patient-group: StructureDefinition.snapshot.element[13].pattern.ofType(CodeableConcept).coding[0].code: Unknown Code 'C19700' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: ValueSet/mcode-cancer-stage-type-vs: ValueSet.compose.include[0].concept[36]: The code '1342413004' is not valid in the system http://snomed.info/sct (Unknown code '1342413004' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201') (1 uses)

Noted. SNOMED is the target code system.

• Target Code System http://snomed.info/sct is only supported on the terminology server, so the target codes are not validated for performance reasons (1 uses)

Reference to condition-category, observation-category, medicationrequest-category code system is inherited from US Core and we can't change that

• Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/medicationrequest-category|1.0.0 (12 uses)

Reference to deprecated extension included for backwards compatibility.

• The extension http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason|4.0.0 is retired (1 uses)

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

• WARNING: StructureDefinition/mcode-ALL-risk-assessment: StructureDefinition.snapshot.element[13].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-cancer-related-medication-request: StructureDefinition.snapshot.element[15].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-cancer-risk-assessment: StructureDefinition.snapshot.element[13].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-cancer-stage: StructureDefinition.snapshot.element[13].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-comorbidities: StructureDefinition.snapshot.element[15].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-deauville-scale: StructureDefinition.snapshot.element[13].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-ecog-performance-status: StructureDefinition.snapshot.element[13].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-genomic-region-studied: StructureDefinition.snapshot.element[49].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-genomic-variant: StructureDefinition.snapshot.element[50].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-genomics-report: StructureDefinition.snapshot.element[18].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-histologic-behavior-and-type: StructureDefinition.snapshot.element[14].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-histologic-grade: StructureDefinition.snapshot.element[14].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-history-of-metastatic-cancer: StructureDefinition.snapshot.element[14].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-karnofsky-performance-status: StructureDefinition.snapshot.element[13].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-lansky-play-performance-status: StructureDefinition.snapshot.element[13].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-lymphoma-stage: StructureDefinition.snapshot.element[13].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-primary-cancer-condition: StructureDefinition.snapshot.element[14].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-rhabdomyosarcoma-risk-assessment: StructureDefinition.snapshot.element[13].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-secondary-cancer-condition: StructureDefinition.snapshot.element[19].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-tnm-category: StructureDefinition.snapshot.element[13].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-tnm-distant-metastases-category: StructureDefinition.snapshot.element[13].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-tnm-primary-tumor-category: StructureDefinition.snapshot.element[13].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-tnm-regional-nodes-category: StructureDefinition.snapshot.element[13].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-tnm-stage-group: StructureDefinition.snapshot.element[13].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-tumor-marker-test: StructureDefinition.snapshot.element[14].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)
• WARNING: StructureDefinition/mcode-tumor-morphology: StructureDefinition.snapshot.element[14].slicing.discriminator[0]: The discriminator type 'pattern' has been deprecated. Use type=value with a pattern[x] instead (1 uses)

SUPPRESS US CORE COMPLIANCE WARNINGS. For STU4, exceptions to US Core parent profiles was approved by Cross-Group Projects Work Group on 03/21/2024. See https://jira.hl7.org/browse/FHIR-44928

• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-region-studied').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-variant').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report').baseDefinition: US FHIR Usage rules require that all profiles on DiagnosticReport derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)

TG263 codesystem and valueset are placeholder only. There is no terminology resource that will support validity checking

• WARNING: ConceptMap/TG263CM: ConceptMap.group[0].source: Source Code System http://hl7.org/fhir/us/mcode/CodeSystem/tg263-cs doesn't have all content (content = not-present), so the source codes cannot be checked (1 uses)
• WARNING: ValueSet.where(id = 'tg263-vs'): Error from http://tx.fhir.org/r4: Unable to provide support for code system http://hl7.org/fhir/us/mcode/CodeSystem/tg263-cs (1 uses)

TG263 concept map is indeed large by intent

• INFORMATION: ConceptMap/TG263CM: ConceptMap: The concept map has too many codes to validate (1,346) (1 uses)

TG263 is a terminology managed by the AAPM. Mapping is included here for documentation purposes.

• INFORMATION: CodeSystem/tg263-cs: CodeSystem: 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 (See https://confluence.hl7.org/display/TSMG/Terminology+Play+Book, and/or talk to TSMG) (1 uses)

This is intentional. These are instances of resources from other IGs (US Core, Genomics IG) that are relevant to care of a cancer patient.

• INFORMATION: Bundle/gx-genomic-bundle-adam-anyperson: Bundle.entry[1].resource/*DiagnosticReport/gx-genomics-report-adam-anyperson*/.result[13]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report|4.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Bundle/gx-genomic-bundle-adam-anyperson: Bundle.entry[1].resource/*DiagnosticReport/gx-genomics-report-adam-anyperson*/.result[14]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report|4.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Bundle/mcode-patient-bundle-jenny-m: Bundle.entry[27]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle|4.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Bundle/mcode-patient-bundle-jenny-m: Bundle.entry[30]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle|4.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Bundle/mcode-patient-bundle-jenny-m: Bundle.entry[31]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle|4.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Bundle/mcode-patient-bundle-jenny-m: Bundle.entry[38]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle|4.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Bundle/mcode-patient-bundle-jenny-m: Bundle.entry[39]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle|4.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/gx-genomics-report-adam-anyperson: DiagnosticReport.result[13]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report|4.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/gx-genomics-report-adam-anyperson: DiagnosticReport.result[14]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report|4.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)

This issue is a commentary on SNOMEDCT, rather than on the valueset. ALl values have been checked.

• INFORMATION: ValueSet/mcode-radiotherapy-treatment-location-vs: ValueSet.compose.include[0]: 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: [Aortic structure (body structure), Ascending aorta structure (body structure), Branch of brachiocephalic artery (body structure), Carotid artery structure (body structure), Structure of celiac artery (body structure)] and examples for no FSN: [Tumor bed (morphologic abnormality), Scar (morphologic abnormality), Vaginal cuff (morphologic abnormality)]) (1 uses)

This valueset is known to be quite large, so inability to validate is not a problem.

• INFORMATION: ValueSet/mcode-primary-malignant-neoplasm-disorder-vs: ValueSet.compose.include[1]: The value set include has too many codes to validate (0), so each individual code has not been checked (1 uses)

UNSUPPORTED TERMINOLOGY

• A definition for CodeSystem 'http://www.genenames.org' could not be found, so the code cannot be validated (47 uses)
• A definition for CodeSystem 'http://www.ncbi.nlm.nih.gov/clinvar' could not be found, so the code cannot be validated (3 uses)
• A definition for CodeSystem 'http://www.ncbi.nlm.nih.gov/gtr' could not be found, so the code cannot be validated (3 uses)
• A definition for CodeSystem 'http://www.ncbi.nlm.nih.gov/refseq' could not be found, so the code cannot be validated (6 uses)
• A definition for CodeSystem 'http://www.sequenceontology.org/' could not be found, so the code cannot be validated (23 uses)
• A definition for CodeSystem 'https://www.gensop.com' could not be found, so the code cannot be validated (2 uses)
• A definition for CodeSystem 'https://www.ncbi.nlm.nih.gov/gene' could not be found, so the code cannot be validated (22 uses)
• Error from http://tx.fhir.org/r4: Unable to provide support for code system http://cancerstaging.org (4 uses)
• The definition for the Code System with URI 'urn:oid:2.16.840.1.113883.6.238' doesn't provide any codes so the code cannot be validated (14 uses)

Use of UCUM inherited from Genomics IG (nothing we can do about it)

• UCUM Codes that contain human readable annotations like {Base} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation (1 uses)
• WARNING: Observation/gx-genomic-tmb: Observation.value.ofType(Quantity): UCUM Codes that contain human readable annotations like {Base} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation (1 uses)

Errors sorted by type

Terminology_TX_NoValid_1_CC