Generated Thu Dec 25 19:23:17 UTC 2025, FHIR version 4.0.1 for hl7.fhir.us.qicore#8.0.0-ballot (canonical = http://hl7.org/fhir/us/qicore (history)). See Errors Only & IP
| Quality Checks | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Publisher Version: | IG Publisher Version: v2.0.29 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Publication Code: | qicore . PackageId = hl7.fhir.us.qicore, Canonical = http://hl7.org/fhir/us/qicore | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Realm Check for US: | Snomed: The IG specifies the US edition of SNOMED CT ✓ | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Language Info: | Stated Languages: n/a. IG Resource Lang: en. 106 of 184 (57%) of resources have a language. Population Policy: NONE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Publication Request: |
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| Supressed Messages: | 43 Suppressed Issues | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependency Checks: |
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| Related IGs: | n/a | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Dependent IGs: | no references | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Global Profiles: |
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| Terminology Server(s): | http://tx.fhir.org/r4, https://tx.fhir.org/r4 (details) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HTA Analysis: | All OK | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| R5 Dependencies: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Draft Dependencies: |
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| 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 = 2, warn = 15, info = 19, broken links = 7, pinned = 26 (when multiples). | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| error | In your menu.xml file, it's no longer allowed to have href='#' on dropdown items. Change them to be href='menu.html' instead. (It won't link, but it needs to be something valid.) | |
| en/StructureDefinition-qicore-claimresponse.html | information | The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause CONFORMANCE_STATEMENT_WORD |
| en/changes.html | information | The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause CONFORMANCE_STATEMENT_WORD |
| en/downloads.html#/html/body/div/div/div/div/div/ul/li/a at Line 202, column 8 | error | The link 'package.tgz' for "package.tgz" cannot be resolved HTML_LINK_CHECK_FAILED |
| en/downloads.html#/html/body/div/div/div/div/div/ul/li/a at Line 210, column 8 | error | The link 'definitions.xml.zip' for "XML" cannot be resolved HTML_LINK_CHECK_FAILED |
| en/downloads.html#/html/body/div/div/div/div/div/ul/li/a at Line 211, column 8 | error | The link 'definitions.json.zip' for "JSON" cannot be resolved HTML_LINK_CHECK_FAILED |
| en/downloads.html#/html/body/div/div/div/div/div/ul/li/a at Line 212, column 8 | error | The link 'definitions.ttl.zip' for "TTL" cannot be resolved HTML_LINK_CHECK_FAILED |
| en/downloads.html#/html/body/div/div/div/div/div/ul/li/a at Line 226, column 8 | error | The link 'examples.xml.zip' for "XML" cannot be resolved HTML_LINK_CHECK_FAILED |
| en/downloads.html#/html/body/div/div/div/div/div/ul/li/a at Line 227, column 8 | error | The link 'examples.json.zip' for "JSON" cannot be resolved HTML_LINK_CHECK_FAILED |
| en/downloads.html#/html/body/div/div/div/div/div/ul/li/a at Line 228, column 8 | error | The link 'examples.ttl.zip' for "TTL" cannot be resolved HTML_LINK_CHECK_FAILED |
| en/index.html | information | The html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause CONFORMANCE_STATEMENT_WORD |
| en/profiles.html | information | The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause CONFORMANCE_STATEMENT_WORD |
| en/qdm-to-qicore.html | information | The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause CONFORMANCE_STATEMENT_WORD |
| 5 | warning | The HTML fragment 'expansion-params.xhtml' is not included anywhere in the produced implementation guide |
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| Path | Severity | Message |
| StructureDefinition.where(url = 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-familymemberhistory').baseDefinition | warning | US FHIR Usage rules require that all profiles on FamilyMemberHistory derive from the core US profile. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process. Comparison with US Core FamilyMemberHistory Profile US_CORE_DERIVATION |
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| Path | Severity | Message |
| StructureDefinition.snapshot.element[46].binding | warning | The definition for the element 'ImagingStudy.series.performer.function' binds to the value set 'http://hl7.org/fhir/ValueSet/series-performer-function|4.0.1' which is experimental, but this structure is not labeled as experimental SD_ED_EXPERIMENTAL_BINDING |
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| Path | Severity | Message |
| StructureDefinition.snapshot.element[19].type[0].extension[1] (l1/c62077) | information | The extension http://hl7.org/fhir/StructureDefinition/regex|5.2.0 is deprecated with the note: 'This was deprecated in favor of using a constraint on the element using FHIRPath, since constraints allow for the provision of a human readable message associated with the regex' MSG_DEPENDS_ON_DEPRECATED_NOTE |
| QuestionnaireResponse.item.answer.extension (l1/c87665) | information | The extension http://hl7.org/fhir/StructureDefinition/ordinalValue|5.2.0 is deprecated with the note: 'Replaced by [[[http://hl7.org/fhir/StructureDefinition/itemWeight]]]' MSG_DEPENDS_ON_DEPRECATED_NOTE |
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| Path | Severity | Message |
| ImplementationGuide.definition.extension[32].url (l1/c9767) | error | No definition could be found for URL value 'http://hl7.org/fhir/tools/StructureDefinition/expansion-parameters' Type_Specific_Checks_DT_URL_Resolve |
| ImplementationGuide.dependsOn[0] (l1/c2784) | warning | The ImplementationGuide uses package hl7.fhir.us.core#8.0.0 released on 2025-06-10, but the most recent appropriate version is 8.0.1. This reference is getting old and the more recent version should be considered IG_DEPENDENCY_VERSION_WARNING_OLD |
| ImplementationGuide.dependsOn[2] (l1/c3070) | warning | The ImplementationGuide uses package hl7.terminology.r4#6.5.0 released on 2025-07-07, but the most recent appropriate version is 7.0.1. This reference is getting old and the more recent version should be considered IG_DEPENDENCY_VERSION_WARNING_OLD |
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| Path | Severity | Message |
| Communication.statusReason.coding[0] (l11/c17) | warning | The concept '184081006' has a status of inactive and its use should be reviewed (from https://tx.fhir.org/r4, see log, or see the servers logic) INACTIVE_CONCEPT_FOUND |
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| Path | Severity | Message |
| DeviceRequest.reasonCode[0].coding[0] (l22/c15) | warning | The concept '182890002' has a status of inactive and its use should be reviewed (from https://tx.fhir.org/r4, see log, or see the servers logic) INACTIVE_CONCEPT_FOUND |
| Path | Severity | Message |
| DeviceRequest.reasonCode[0].coding[0] (l24/c15) | warning | The concept '182890002' has a status of inactive and its use should be reviewed (from https://tx.fhir.org/r4, see log, or see the servers logic) INACTIVE_CONCEPT_FOUND |
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| Path | Severity | Message |
| ImagingStudy (l10/c44) | warning | Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues) Language_XHTML_Lang_Missing1 |
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| Path | Severity | Message |
| Observation.interpretation[0].coding[0] (l52/c19) | warning | The concept 'L' is deprecated and its use should be reviewed DEPRECATED_CONCEPT_FOUND |
| Observation.component[0].interpretation[0].coding[0] (l111/c21) | warning | The concept 'N' is deprecated and its use should be reviewed DEPRECATED_CONCEPT_FOUND |
| Observation.component[1].interpretation[0].coding[0] (l137/c21) | warning | The concept 'L' is deprecated and its use should be reviewed DEPRECATED_CONCEPT_FOUND |
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| Path | Severity | Message |
| ServiceRequest.category[0] (l16/c13) | information | Reference to draft ValueSet http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1 (from https://tx.fhir.org/r4, see log, or see the servers logic) MSG_DRAFT |
| Path | Severity | Message |
| ServiceRequest.category[0] (l9/c15) | information | Reference to draft ValueSet http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1 (from https://tx.fhir.org/r4, see log, or see the servers logic) MSG_DRAFT |
| Path | Severity | Message |
| ServiceRequest.category[0] (l9/c13) | information | Reference to draft ValueSet http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1 (from https://tx.fhir.org/r4, see log, or see the servers logic) MSG_DRAFT |
| Path | Severity | Message |
| ServiceRequest.category[0] (l9/c13) | information | Reference to draft ValueSet http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1 (from https://tx.fhir.org/r4, see log, or see the servers logic) MSG_DRAFT |
| Path | Severity | Message |
| ServiceRequest.category[0] (l9/c13) | information | Reference to draft ValueSet http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1 (from https://tx.fhir.org/r4, see log, or see the servers logic) MSG_DRAFT |
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| ServiceRequest.category[0] (l16/c13) | information | Reference to draft ValueSet http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1 (from https://tx.fhir.org/r4, see log, or see the servers logic) MSG_DRAFT |
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| ValueSet.compose.include[2].concept[1].display (l1/c5502) | warning | 'Drug not available - out of stock (finding)' is no longer considered a correct display for code '182856006' (status = inactive). The correct display is one of "Drug not available - out of stock" (from https://tx.fhir.org/r4, see log) INACTIVE_DISPLAY_FOUND |
| ValueSet.compose.include[2].concept[2].display (l1/c5575) | warning | 'Drug not available-off market (finding)' is no longer considered a correct display for code '182857002' (status = inactive). The correct display is one of "Drug not available - off market" (from https://tx.fhir.org/r4, see log) INACTIVE_DISPLAY_FOUND |
| ValueSet.compose.include[2].concept[5] (l1/c5779) | information | Wrong Display Name 'Loss of benefits (finding)' for http://snomed.info/sct#224198000. Valid display is 'Delay in receiving benefits' (en) (for the language(s) 'en, en-US'). Note that the display in the ValueSet does not have to match; this check exists to help check that it's not accidentally the wrong code VALUESET_CODE_CONCEPT_HINT |
| ValueSet.compose.include[2].concept[8] (l1/c5995) | warning | The concept '270459005' has a status of inactive and its use should be reviewed (from https://tx.fhir.org/r4, see log) INACTIVE_CONCEPT_FOUND |
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| Path | Severity | Message |
| ValueSet.compose.include[0].concept[0] (l1/c4013) | information | Wrong Display Name 'Yes' for https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding#Y. There are no valid display names found for language(s) 'en, en-US'. Default display is 'null'. Note that the display in the ValueSet does not have to match; this check exists to help check that it's not accidentally the wrong code VALUESET_CODE_CONCEPT_HINT |
| ValueSet.compose.include[0].concept[1] (l1/c4041) | information | Wrong Display Name 'No' for https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding#N. There are no valid display names found for language(s) 'en, en-US'. Default display is 'null'. Note that the display in the ValueSet does not have to match; this check exists to help check that it's not accidentally the wrong code VALUESET_CODE_CONCEPT_HINT |
| ValueSet.compose.include[0].concept[2] (l1/c4074) | information | Wrong Display Name 'Unknown' for https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding#U. There are no valid display names found for language(s) 'en, en-US'. Default display is 'null'. Note that the display in the ValueSet does not have to match; this check exists to help check that it's not accidentally the wrong code VALUESET_CODE_CONCEPT_HINT |
| ValueSet.compose.include[0].concept[3] (l1/c4112) | information | Wrong Display Name 'Undetermined' for https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding#W. There are no valid display names found for language(s) 'en, en-US'. Default display is 'null'. Note that the display in the ValueSet does not have to match; this check exists to help check that it's not accidentally the wrong code VALUESET_CODE_CONCEPT_HINT |
| ValueSet.compose.include[0].concept[4] (l1/c4148) | information | Wrong Display Name 'Unreported' for https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding#1. There are no valid display names found for language(s) 'en, en-US'. Default display is 'null'. Note that the display in the ValueSet does not have to match; this check exists to help check that it's not accidentally the wrong code VALUESET_CODE_CONCEPT_HINT |
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Suppressed Messages (Warnings, hints, broken links)
The following code system is not discoverable because they are code systems in THO, but THO doesn't define the codes. They have been checked and the identifiers are correct :
Profiles not based on US Core and variance requests have been approved: https://jira.hl7.org/browse/FHIR-34125 & https://jira.hl7.org/browse/FHIR-41615
The following are suppressed as they are the result of issues within the associated base definition, outside of this IG.
The following information is notifying of a deprecated extension but there is no extension at the moment that can replace it
The following information message is suppressed as it merely suggests a review of values in a ValueSet which may or may not occur in the future
The following information message is suppressed as it refers to an issue in a base resource defined elsewhere
The following information messages are expected since the canonical references are pinned to multiple versions
The following information messages in Questionnaire Response are suppressed as they refer to elements in the snapshot base resource
The following messages are being generated from the inherited/base resource snapshot
The following messages are expected since these valueSets had network issues when preparing the VSAC package per this Zulip thread (https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/Definition.20for.20value.20Sets.20cannot.20be.20found/with/530420239)
The following messages are generated from code systems and value sets currently in 'draft' status within the inherited/base resource snapshot.
The following warnings messages are generated due to using an example oid for an identifier system in the patient examples
The sources of the following warnings are in the base definition profiles in US Core
The validator is trying to resolve an "example.org" artifact which by convention does not exist
Errors sorted by type
| input/resources/observation-example.xml | The concept 'L' is deprecated and its use should be reviewed |
| input/resources/observation-example.xml | The concept 'N' is deprecated and its use should be reviewed |
| input/resources/observation-example.xml | The concept 'L' is deprecated and its use should be reviewed |
| input/qicore.xml | The ImplementationGuide uses package hl7.fhir.us.core#8.0.0 released on 2025-06-10, but the most recent appropriate version is 8.0.1. This reference is getting old and the more recent version should be considered |
| input/qicore.xml | The ImplementationGuide uses package hl7.terminology.r4#6.5.0 released on 2025-07-07, but the most recent appropriate version is 7.0.1. This reference is getting old and the more recent version should be considered |
| input/resources/communication-negation-example.xml | The concept '184081006' has a status of inactive and its use should be reviewed |
| input/resources/devicerequest-negation-example.xml | The concept '182890002' has a status of inactive and its use should be reviewed |
| input/resources/devicerequest-negation-with-code-example.xml | The concept '182890002' has a status of inactive and its use should be reviewed |
| input/resources/valueset-qicore-negation-reason.xml | The concept '270459005' has a status of inactive and its use should be reviewed |
| input/resources/valueset-qicore-negation-reason.xml | 'Drug not available - out of stock (finding)' is no longer considered a correct display for code '182856006' (status = inactive). The correct display is one of "Drug not available - out of stock" |
| input/resources/valueset-qicore-negation-reason.xml | 'Drug not available-off market (finding)' is no longer considered a correct display for code '182857002' (status = inactive). The correct display is one of "Drug not available - off market" |
| input/resources/imagingstudy-example.xml | Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues) |
| input/profiles/StructureDefinition-qicore-questionnaireresponse.json | The extension http://hl7.org/fhir/StructureDefinition/regex|5.2.0 is deprecated with the note: 'This was deprecated in favor of using a constraint on the element using FHIRPath, since constraints allow for the provision of a human readable message associated with the regex' |
| input/profiles/StructureDefinition-qicore-questionnaireresponse.json | The extension http://hl7.org/fhir/StructureDefinition/ordinalValue|5.2.0 is deprecated with the note: 'Replaced by [[[http://hl7.org/fhir/StructureDefinition/itemWeight]]]' |
| input/resources/servicerequest-example.xml | Reference to draft ValueSet http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1 |
| input/resources/servicerequest-myringotomy-example.xml | Reference to draft ValueSet http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1 |
| input/resources/servicerequest-negation-example.xml | Reference to draft ValueSet http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1 |
| input/resources/servicerequest-negation-example-code.xml | Reference to draft ValueSet http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1 |
| input/resources/servicerequest-proposal-example.xml | Reference to draft ValueSet http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1 |
| input/resources/servicerequested-example.xml | Reference to draft ValueSet http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1 |
| input/profiles/StructureDefinition-qicore-imagingstudy.json | The definition for the element 'ImagingStudy.series.performer.function' binds to the value set 'http://hl7.org/fhir/ValueSet/series-performer-function|4.0.1' which is experimental, but this structure is not labeled as experimental |
| input/qicore.xml | No definition could be found for URL value 'http://hl7.org/fhir/tools/StructureDefinition/expansion-parameters' |
| input/profiles/StructureDefinition-qicore-familymemberhistory.json | US FHIR Usage rules require that all profiles on FamilyMemberHistory derive from the core US profile. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process. Comparison with US Core FamilyMemberHistory Profile |
| input/resources/valueset-qicore-negation-reason.xml | Wrong Display Name 'Loss of benefits (finding)' for http://snomed.info/sct#224198000. Valid display is 'Delay in receiving benefits' (en) (for the language(s) 'en, en-US'). Note that the display in the ValueSet does not have to match; this check exists to help check that it's not accidentally the wrong code |
| input/resources/valueset-qicore-present-on-admission.xml | Wrong Display Name 'Yes' for https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding#Y. There are no valid display names found for language(s) 'en, en-US'. Default display is 'null'. Note that the display in the ValueSet does not have to match; this check exists to help check that it's not accidentally the wrong code |
| input/resources/valueset-qicore-present-on-admission.xml | Wrong Display Name 'No' for https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding#N. There are no valid display names found for language(s) 'en, en-US'. Default display is 'null'. Note that the display in the ValueSet does not have to match; this check exists to help check that it's not accidentally the wrong code |
| input/resources/valueset-qicore-present-on-admission.xml | Wrong Display Name 'Unknown' for https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding#U. There are no valid display names found for language(s) 'en, en-US'. Default display is 'null'. Note that the display in the ValueSet does not have to match; this check exists to help check that it's not accidentally the wrong code |
| input/resources/valueset-qicore-present-on-admission.xml | Wrong Display Name 'Undetermined' for https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding#W. There are no valid display names found for language(s) 'en, en-US'. Default display is 'null'. Note that the display in the ValueSet does not have to match; this check exists to help check that it's not accidentally the wrong code |
| input/resources/valueset-qicore-present-on-admission.xml | Wrong Display Name 'Unreported' for https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding#1. There are no valid display names found for language(s) 'en, en-US'. Default display is 'null'. Note that the display in the ValueSet does not have to match; this check exists to help check that it's not accidentally the wrong code |