Validation Results for NationalDirectoryHealthcare

Generated Tue May 19 16:49:07 UTC 2026, FHIR version 4.0.1 for hl7.fhir.us.ndh#2.0.0-current (canonical = http://hl7.org/fhir/us/ndh (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.2.7
Publication Code:	ndh . PackageId = hl7.fhir.us.ndh, Canonical = http://hl7.org/fhir/us/ndh
Realm Check for US:	Snomed: The IG specifies the US edition of SNOMED CT ✓ Profiles: All OK
Language Info:	Stated Languages: n/a. IG Resource Lang: en. 63 of 247 (25%) of resources have a language. Population Policy: NONE
Publication Request:	RelatedIgs (None Found) Publication Request is for v'1.0.0' but package version is v2.0.0-current Publication Request is for version v1.0.0 which is already published
Supressed Messages:	60 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment hl7.fhir.us.ndh 2.0.0-current R4 http://hl7.org/fhir/us/ndh hl7.terminology.r4 7.1.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 hl7.fhir.uv.extensions.r4 5.2.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 Latest Release is 5.3.0 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 8.0.1 hl7.terminology.r4 5.0.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 Latest Release is 7.1.0 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 5.3.0 hl7.fhir.uv.bulkdata 2.0.0 O R4 http://hl7.org/fhir/uv/bulkdata http://hl7.org/fhir/uv/bulkdata/STU2 Latest Release is 3.0.0 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 (as above). Latest Release is 7.1.0 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 0.24.0 hl7.fhir.uv.sdc 3.0.0 O R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 Latest Release is 4.0.0 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 1.5.0 hl7.fhir.uv.extensions.r4 5.3.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.3.0 hl7.terminology.r4 7.1.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 (as above) hl7.fhir.uv.subscriptions-backport.r4 1.1.0 M R4 http://hl7.org/fhir/uv/subscriptions-backport http://hl7.org/fhir/uv/subscriptions-backport/STU1.1 FHIR Version Mismatch hl7.terminology.r4 5.0.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 (as above). Latest Release is 7.1.0 ihe.iti.mcsd 4.0.0 M R4 https://profiles.ihe.net/ITI/mCSD https://profiles.ihe.net/ITI/mCSD/4.0.0 Matched to latest patch release (4.0.x->4.0.0) hl7.terminology.r4 6.3.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.3.0 Latest Release is 7.1.0 hl7.fhir.uv.extensions.r4 5.2.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0 hl7.fhir.uv.extensions.r4 5.2.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0 ihe.iti.balp 1.1.3 O R4 https://profiles.ihe.net/ITI/BALP https://profiles.ihe.net/ITI/BALP/1.1.3 Latest Release is 1.1.4 hl7.terminology.r4 5.3.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.3.0 Latest Release is 7.1.0 hl7.fhir.uv.extensions.r4 1.0.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/1.0.0 (as above). Latest Release is 5.3.0 hl7.fhir.us.davinci-pdex-plan-net 1.2.0 M R4 http://hl7.org/fhir/us/davinci-pdex-plan-net http://hl7.org/fhir/us/davinci-pdex-plan-net/STU1.2 hl7.terminology.r4 6.2.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.2.0 Latest Release is 7.1.0 hl7.fhir.uv.extensions.r4 5.2.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0 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 8.0.1 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 (as above). Latest Release is 8.0.1 hl7.fhir.us.core 7.0.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU7 Latest Release is 8.0.1 hl7.terminology.r4 5.5.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.5.0 Latest Release is 7.1.0 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 0.24.0 hl7.fhir.uv.sdc 3.0.0 O R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 (as above). Latest Release is 4.0.0 us.cdc.phinvads 0.12.0 M R4 http://fhir.org/packages/us.cdc.phinvads http://fhir.org/packages/us.cdc.phinvads (as above) 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 5.3.0 hl7.terminology.r5 5.3.0 O R5 http://terminology.hl7.org http://terminology.hl7.org/5.3.0 FHIR Version Mismatch. Latest Release is 7.1.0 hl7.fhir.us.davinci-hrex 1.1.0 O R4 http://hl7.org/fhir/us/davinci-hrex http://hl7.org/fhir/us/davinci-hrex/STU1.1 Latest Release is 1.2.0 hl7.terminology.r4 6.1.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.1.0 Latest Release is 7.1.0 hl7.fhir.uv.extensions.r4 5.1.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 Latest Release is 5.3.0 hl7.fhir.us.core 7.0.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU7 (as above). Latest Release is 8.0.1 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 (as above) 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 (as above) 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 0.24.0 hl7.fhir.us.davinci-cdex 2.1.0 M R4 http://hl7.org/fhir/us/davinci-cdex http://hl7.org/fhir/us/davinci-cdex/STU2.1 hl7.terminology.r4 6.2.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.2.0 (as above). Latest Release is 7.1.0 hl7.fhir.uv.extensions.r4 5.1.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 (as above). Latest Release is 5.3.0 hl7.fhir.us.core 7.0.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU7 (as above). Latest Release is 8.0.1 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 (as above) 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 (as above) hl7.fhir.us.davinci-hrex 1.1.0 O R4 http://hl7.org/fhir/us/davinci-hrex http://hl7.org/fhir/us/davinci-hrex/STU1.1 (as above). Latest Release is 1.2.0 hl7.fhir.us.davinci-pas 2.1.0 O R4 http://hl7.org/fhir/us/davinci-pas http://hl7.org/fhir/us/davinci-pas/STU2.1 Latest Release is 2.2.1 hl7.terminology.r4 6.1.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.1.0 (as above). Latest Release is 7.1.0 hl7.fhir.uv.extensions.r4 5.1.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 (as above). Latest Release is 5.3.0 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 (as above) 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 (as above) hl7.fhir.us.core 7.0.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU7 (as above). Latest Release is 8.0.1 hl7.fhir.uv.sdc 3.0.0 O R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 (as above). Latest Release is 4.0.0 hl7.fhir.us.davinci-crd 2.0.0 V R4 http://hl7.org/fhir/us/davinci-crd http://hl7.org/fhir/us/davinci-crd/STU2 hl7.terminology.r4 5.3.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.3.0 (as above). Latest Release is 7.1.0 hl7.fhir.uv.extensions.r4 1.0.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/1.0.0 (as above). Latest Release is 5.3.0 hl7.fhir.us.core 3.1.1 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU3.1.1 (as above). Latest Release is 8.0.1 hl7.fhir.uv.sdc 3.0.0 O R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 (as above). Latest Release is 4.0.0 hl7.fhir.us.davinci-hrex 1.0.0 O R4 http://hl7.org/fhir/us/davinci-hrex http://hl7.org/fhir/us/davinci-hrex/STU1 Latest Release is 1.2.0 hl7.fhir.us.core 3.1.1 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU3.1.1 (as above). Latest Release is 8.0.1 hl7.fhir.us.udap-security 0.1.0 O R4 http://hl7.org/fhir/us/udap-security http://hl7.org/fhir/us/udap-security/2021Sep Latest Release is 2.0.0 hl7.fhir.us.core 3.1.1 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU3.1.1 (as above). Latest Release is 8.0.1 us.nlm.vsac 0.11.0 O R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac (as above). Latest Release is 0.24.0 hl7.fhir.us.davinci-hrex 1.1.0 O R4 http://hl7.org/fhir/us/davinci-hrex http://hl7.org/fhir/us/davinci-hrex/STU1.1 (as above). Latest Release is 1.2.0 hl7.fhir.uv.subscriptions-backport.r4 1.1.0 M R4 http://hl7.org/fhir/uv/subscriptions-backport http://hl7.org/fhir/uv/subscriptions-backport/STU1.1 FHIR Version Mismatch (as above) hl7.fhir.us.carin-bb 2.0.0 O R4 http://hl7.org/fhir/us/carin-bb http://hl7.org/fhir/us/carin-bb/STU2 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 (as above). Latest Release is 7.1.0 hl7.fhir.us.core 3.1.1 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU3.1.1 (as above). Latest Release is 8.0.1 us.nlm.vsac 0.7.0 O R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac Latest Release is 0.24.0 hl7.fhir.us.carin-bb 2.0.0 O R4 http://hl7.org/fhir/us/carin-bb http://hl7.org/fhir/us/carin-bb/STU2 (as above). Latest Release is 2.2.0 hl7.fhir.us.davinci-dtr 2.1.0 O R4 http://hl7.org/fhir/us/davinci-dtr http://hl7.org/fhir/us/davinci-dtr/STU2.1 Latest Release is 2.2.0 hl7.terminology.r4 6.1.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.1.0 (as above). Latest Release is 7.1.0 hl7.fhir.uv.extensions.r4 5.1.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 (as above). Latest Release is 5.3.0 hl7.fhir.us.core 7.0.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU7 (as above). Latest Release is 8.0.1 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 (as above) 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 (as above) hl7.fhir.uv.sdc 3.0.0 O R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 (as above). Latest Release is 4.0.0 hl7.fhir.us.davinci-hrex 1.1.0 O R4 http://hl7.org/fhir/us/davinci-hrex http://hl7.org/fhir/us/davinci-hrex/STU1.1 (as above). Latest Release is 1.2.0 hl7.fhir.us.davinci-crd 2.1.0 O R4 http://hl7.org/fhir/us/davinci-crd http://hl7.org/fhir/us/davinci-crd/STU2.1 Latest Release is 2.2.1 hl7.terminology.r4 6.1.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.1.0 (as above). Latest Release is 7.1.0 hl7.fhir.uv.extensions.r4 5.1.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 (as above). Latest Release is 5.3.0 hl7.fhir.us.core 7.0.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU7 (as above). Latest Release is 8.0.1 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 (as above) 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 (as above) hl7.fhir.uv.sdc 3.0.0 O R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 (as above). Latest Release is 4.0.0 hl7.fhir.us.davinci-hrex 1.1.0 O R4 http://hl7.org/fhir/us/davinci-hrex http://hl7.org/fhir/us/davinci-hrex/STU1.1 (as above). Latest Release is 1.2.0 us.nlm.vsac 0.19.0 O R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac (as above). Latest Release is 0.24.0 hl7.fhir.us.davinci-pas 2.1.0 O R4 http://hl7.org/fhir/us/davinci-pas http://hl7.org/fhir/us/davinci-pas/STU2.1 (as above). Latest Release is 2.2.1 hl7.fhir.uv.sdc 3.0.0 O R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 (as above). Latest Release is 4.0.0 hl7.fhir.uv.subscriptions-backport.r4 1.1.0 M R4 http://hl7.org/fhir/uv/subscriptions-backport http://hl7.org/fhir/uv/subscriptions-backport/STU1.1 FHIR Version Mismatch (as above) hl7.fhir.uv.tools.r4 1.1.2 M R4 http://hl7.org/fhir/tools http://hl7.org/fhir/tools/1.1.2 Internal Dependency Templates: hl7.fast.template#current -> hl7.fhir.template#current -> hl7.base.template#current -> fhir2.base.template#current
Related IGs:	n/a
Dependent IGs:	no references
Global Profiles:	(none declared)
Terminology Server(s):	http://tx.fhir.org/r4, https://tx.fhir.org/r4 (details)
HTA Analysis:	All OK
R5 Dependencies:	(none)
Draft Dependencies:	hl7.fhir.r4.core#4.0.1: GuideParameterCode (16 uses), connection-type (1 uses), identifier (1 uses), organization (1 uses), status (1 uses), _id (10 uses), _lastUpdated (10 uses), active (1 uses), coverage-area (1 uses), endpoint (1 uses), identifier (1 uses), name (1 uses), program (1 uses), service-category (1 uses), service-type (1 uses), specialty (1 uses), address (1 uses), address-city (1 uses), address-country (1 uses), address-postalcode (1 uses), address-state (1 uses), administered-by (1 uses), endpoint (1 uses), identifier (1 uses), name (1 uses), owned-by (1 uses), status (1 uses), type (1 uses), address (1 uses), address-city (1 uses), address-country (1 uses), address-postalcode (1 uses), address-state (1 uses), address-use (1 uses), endpoint (1 uses), identifier (1 uses), name (1 uses), near (1 uses), partof (1 uses), organization (1 uses), type (1 uses), active (1 uses), address (1 uses), address-city (1 uses), address-country (1 uses), address-postalcode (1 uses), address-state (1 uses), address-use (1 uses), endpoint (1 uses), identifier (1 uses), name (1 uses), partof (1 uses), type (1 uses), endpoint (1 uses), identifier (1 uses), network (1 uses), role (1 uses), service (1 uses), specialty (1 uses), active (1 uses), name (1 uses), gender (1 uses), identifier (1 uses), active (1 uses), endpoint (1 uses), identifier (1 uses), practitioner (1 uses), role (1 uses), service (1 uses), specialty (1 uses), member (1 uses), managing-entity (1 uses), type (1 uses), code (1 uses), location (1 uses), organization (1 uses), location (1 uses), participating-organization (1 uses), primary-organization (1 uses), location (1 uses), organization (1 uses), CommonLanguages (17 uses), Endpoint (1 uses), CommonTags (10 uses), EndpointStatus (1 uses), Group (2 uses), GroupType (1 uses), HealthcareService (1 uses), ServiceCategory (1 uses), ServiceProvisionConditions (2 uses), Program (2 uses), ReferralMethod (1 uses), InsurancePlan (2 uses), ContactEntityType (3 uses), BenefitCostApplicability (1 uses), boundary-geojson (2 uses), LocationStatus (1 uses), LocationMode (2 uses), LocationType (1 uses), Organization (6 uses), period (2 uses), Geolocation (4 uses), OrganizationAffiliation (1 uses), VerificationResult (1 uses), need (1 uses), status (1 uses), validation-type (2 uses), failure-action (1 uses), primary-source-type (2 uses), validation-status (1 uses), can-push-updates (1 uses), push-type-available (1 uses), FHIR Defined Concept Properties (2 uses), Condition/Problem/DiagnosisCodes (3 uses), ProcedureCodes(SNOMEDCT) (3 uses), OrganizationAffiliationRole (12 uses) hl7.fhir.uv.subscriptions-backport.r4#1.1.0: SubscriptionsR5Backport (1 uses)
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 = 0, warn = 2, info = 1, broken links = 0, pinned = 26 (when multiples). Show Message Ids

n/a Show Validation Information

fsh-generated/resources/StructureDefinition-base-ext-endpoint-testing-certification.json Show Validation Information (1)

Suppressed Messages (Warnings, hints, broken links)

Geno indicates that this is to be ignored for now until new subscription-backport is available https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/Subscriptions.20backport.20issue/with/561462777

• ERROR: ImplementationGuide/hl7.fhir.us.ndh: This IG is version 4.0.1, while the IG 'hl7.fhir.uv.subscriptions-backport.r4' is from version 4.0.0 (1 uses)
• The 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 (1 uses)

No current intent to move this to THO

• INFORMATION: CodeSystem/NdhDirectTrustEndpointUsecaseCS: 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)
• INFORMATION: CodeSystem/NdhFhirEndpointUseCaseCS: 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)

TODO Not yet using conformance blocking

• The html source contains the word 'MAY' but it is not in a text phrase marked as a conformance clause:% (1 uses)
• The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause:% (4 uses)
• The html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause:% (1 uses)

TODO when have better examples, the slicing unmatch needs to be checked

• Details_for__matching_against_Profile_ (24 uses)

The NdhAgeGoupCS code system is used exclusively in the NDH IG. Therefore, it should be maintained as a local code system, see https://confluence.hl7.org/spaces/TSMG/pages/324968688/2025-03-24+TSMG+Agenda+and+Minutes.

• INFORMATION: CodeSystem/NdhAgeGroupCS: 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)

The NdhAssociatedServersTypeCS code system is used exclusively in the NDH IG. Therefore, it should be maintained as a local code system, see https://confluence.hl7.org/spaces/TSMG/pages/324968688/2025-03-24+TSMG+Agenda+and+Minutes.

• INFORMATION: CodeSystem/NdhAssociatedServersTypeCS: 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)

The NdhEndpointAccessControlMechanismCS code system is used exclusively in the NDH IG. Therefore, it should be maintained as a local code system, see https://confluence.hl7.org/spaces/TSMG/pages/324968688/2025-03-24+TSMG+Agenda+and+Minutes.

• INFORMATION: CodeSystem/NdhEndpointAccessControlMechanismCS: 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)

The NdhEndpointConnectionTypeCS is used exclusively in the NDH IG. it should be maintained as a local code system, see https://confluence.hl7.org/spaces/TSMG/pages/324968688/2025-03-24+TSMG+Agenda+and+Minutes.

• INFORMATION: CodeSystem/NdhEndpointConnectionTypeCS: 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)

The NdhEndpointEnvironmentCS code system is used exclusively in the NDH IG. Therefore, it should be maintained as a local code system, see https://confluence.hl7.org/spaces/TSMG/pages/324968688/2025-03-24+TSMG+Agenda+and+Minutes.

• INFORMATION: CodeSystem/NdhEndpointEnvironmentCS: 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)

The NdhEndpointTestingMethodCS code system is used exclusively in the NDH IG. Therefore, it should be maintained as a local code system, see https://confluence.hl7.org/spaces/TSMG/pages/324968688/2025-03-24+TSMG+Agenda+and+Minutes.

• INFORMATION: CodeSystem/NdhEndpointTestingMethodCS: 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)

The NdhInsuranceStatusCS code system is used exclusively in the NDH IG. Therefore, it should be maintained as a local code system, see https://confluence.hl7.org/spaces/TSMG/pages/324968688/2025-03-24+TSMG+Agenda+and+Minutes.

• INFORMATION: CodeSystem/NdhInsuranceStatusCS: 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)

The NdhOrgTypeCS code system is used exclusively in the NDH IG to support its use in current payer directories. Therefore, it should be maintained as a local code system, see https://confluence.hl7.org/spaces/TSMG/pages/324968688/2025-03-24+TSMG+Agenda+and+Minutes.

• INFORMATION: CodeSystem/NdhOrgTypeCS: 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)

The NdhPractitionerRoleCS code system is used exclusively in the NDH IG. Therefore, it should be maintained as a local code system, see https://confluence.hl7.org/spaces/TSMG/pages/324968688/2025-03-24+TSMG+Agenda+and+Minutes.

• INFORMATION: CodeSystem/NdhPractitionerRoleCS: 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)

The NdhSecureExchangeArtifactsCS code system is used exclusively in the NDH IG. Therefore, it should be maintained as a local code system, see https://confluence.hl7.org/spaces/TSMG/pages/324968688/2025-03-24+TSMG+Agenda+and+Minutes.

• INFORMATION: CodeSystem/NdhSecureExchangeArtifactsCS: 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)

The NdhTrustFrameworkTypeCS code system is used exclusively in the NDH IG. Therefore, it should be maintained as a local code system, see https://confluence.hl7.org/spaces/TSMG/pages/324968688/2025-03-24+TSMG+Agenda+and+Minutes.

• INFORMATION: CodeSystem/NdhTrustFrameworkTypeCS: 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)

The NdhTrustProfileCS code system is used exclusively in the NDH IG. Therefore, it should be maintained as a local code system, see https://confluence.hl7.org/spaces/TSMG/pages/324968688/2025-03-24+TSMG+Agenda+and+Minutes.

• INFORMATION: CodeSystem/NdhTrustProfileCS: 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)

The NdhVerificationStatusCS code system is used exclusively in the NDH IG. Therefore, it should be maintained as a local code system, see https://confluence.hl7.org/spaces/TSMG/pages/324968688/2025-03-24+TSMG+Agenda+and+Minutes.

• INFORMATION: CodeSystem/NdhVerificationStatusCS: 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 IG is bound to US-Core 6.1

• WARNING: ImplementationGuide/hl7.fhir.us.ndh: ImplementationGuide.dependsOn[1]: The ImplementationGuide uses package hl7.fhir.us.core#6.1.0 released on 2023-06-30, but the most recent appropriate version is 8.0.1. This reference is getting old and the more recent version should be considered (1 uses)

This has been checked, can't use canonical in sushi

• WARNING: Parameters/parameters-snomed-us: Parameters.parameter[0]: If the parameter 'system-version' is an instance of the parameter defined in the base FHIR standard, then the type should be canonical, but found string (1 uses)

This is a canonical URL from IHE

• WARNING: Endpoint/IheEndpoint: Endpoint.extension[1].extension[0].value.ofType(canonical): A definition could not be found for Canonical URL 'https://profiles.ihe.net/ITI/TF/Volume1/ch-27.html' (1 uses)

an inherited slicing from us-core 6

• INFORMATION: StructureDefinition/ndh-Network: StructureDefinition.snapshot.element[20].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/ndh-Network: StructureDefinition.snapshot.element[32].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)
• WARNING: StructureDefinition/ndh-Network: StructureDefinition.snapshot: The slice 'CLIA' on path 'Organization.identifier' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true (1 uses)
• WARNING: StructureDefinition/ndh-Network: StructureDefinition.snapshot: The slice 'NAIC' on path 'Organization.identifier' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true (1 uses)
• WARNING: StructureDefinition/ndh-Organization: StructureDefinition.snapshot: The slice 'CLIA' on path 'Organization.identifier' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true (1 uses)
• WARNING: StructureDefinition/ndh-Organization: StructureDefinition.snapshot: The slice 'NAIC' on path 'Organization.identifier' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true (1 uses)

inherited from FHIR Core and us-core

• INFORMATION: StructureDefinition/ndh-Endpoint: StructureDefinition.snapshot.element[12].binding.extension[0]: The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.3.0 is deprecated with the note: 'Use additionalBinding extension or element instead' (1 uses)
• INFORMATION: StructureDefinition/ndh-Organization: StructureDefinition.snapshot.element[28].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/ndh-Organization: StructureDefinition.snapshot.element[38].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/ndh-Organization: StructureDefinition.snapshot.element[39].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/ndh-Organization: StructureDefinition.snapshot.element[40].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/ndh-Organization: StructureDefinition.snapshot.element[50].type[0].extension[1]: The extension http://hl7.org/fhir/StructureDefinition/regex|5.3.0 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' (1 uses)
• INFORMATION: StructureDefinition/ndh-Practitioner: StructureDefinition.snapshot.element[29].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/ndh-Practitioner: StructureDefinition.snapshot.element[39].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)

known draft codeSystem being excluded

• INFORMATION: ValueSet/OrganizationAffiliationRoleVS: ValueSet.compose.exclude[0].concept[0]: Reference to draft CodeSystem http://hl7.org/fhir/organization-role|4.0.1 (1 uses)

recognized as expected

• INFORMATION: CodeSystem/FaCeT-credentialCS: CodeSystem.property[0]: This property has only a code ('cred_org') and not a URI, so it has no clearly defined meaning in the terminology ecosystem (1 uses)
• INFORMATION: CodeSystem/FaCeT-credentialCS: CodeSystem.property[1]: This property has only a code ('cred_url') and not a URI, so it has no clearly defined meaning in the terminology ecosystem (1 uses)
• INFORMATION: CodeSystem/FaCeT-credentialCS: CodeSystem.property[2]: This property has only a code ('description') and not a URI, so it has no clearly defined meaning in the terminology ecosystem (1 uses)
• INFORMATION: CodeSystem/FaCeT-credentialCS: CodeSystem.property[3]: This property has only a code ('is_multisource') and not a URI, so it has no clearly defined meaning in the terminology ecosystem (1 uses)
• INFORMATION: CodeSystem/FaCeT-credentialCS: CodeSystem.property[4]: This property has only a code ('is_clinical') and not a URI, so it has no clearly defined meaning in the terminology ecosystem (1 uses)
• INFORMATION: CodeSystem/FaCeT-credentialCS: CodeSystem.property[5]: This property has only a code ('is_board_certification') and not a URI, so it has no clearly defined meaning in the terminology ecosystem (1 uses)
• INFORMATION: CodeSystem/FaCeT-credentialCS: 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)
• INFORMATION: CodeSystem/FaCeT-credentialPropertiesCS: 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)
• INFORMATION: CodeSystem/FaCeT-org-credentialCS: CodeSystem.property[0]: This property has only a code ('credential_category') and not a URI, so it has no clearly defined meaning in the terminology ecosystem (1 uses)
• INFORMATION: CodeSystem/FaCeT-org-credentialCS: CodeSystem.property[1]: This property has only a code ('issuer') and not a URI, so it has no clearly defined meaning in the terminology ecosystem (1 uses)
• INFORMATION: CodeSystem/FaCeT-org-credentialCS: CodeSystem.property[2]: This property has only a code ('issuer_url') and not a URI, so it has no clearly defined meaning in the terminology ecosystem (1 uses)
• INFORMATION: CodeSystem/FaCeT-org-credentialCS: CodeSystem.property[3]: This property has only a code ('credential_type') and not a URI, so it has no clearly defined meaning in the terminology ecosystem (1 uses)
• INFORMATION: CodeSystem/FaCeT-org-credentialCS: CodeSystem.property[4]: This property has only a code ('credential_url') and not a URI, so it has no clearly defined meaning in the terminology ecosystem (1 uses)
• INFORMATION: CodeSystem/FaCeT-org-credentialCS: CodeSystem.property[5]: This property has only a code ('is_credential_retired') and not a URI, so it has no clearly defined meaning in the terminology ecosystem (1 uses)
• INFORMATION: CodeSystem/FaCeT-org-credentialCS: CodeSystem.property[6]: This property has only a code ('is_cms_deeming_credential') and not a URI, so it has no clearly defined meaning in the terminology ecosystem (1 uses)
• INFORMATION: CodeSystem/FaCeT-org-credentialCS: 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)
• INFORMATION: CodeSystem/FaCeT-org-credentialPropertiesCS: 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)
• WARNING: CodeSystem/FaCeT-org-credentialCS: CodeSystem.concept[0]: HL7 Defined CodeSystems should ensure that every concept has a definition (1 uses)

set ig publisher to pin to latest

• PIN_VERSION (26 uses)

understood the these valueset are too large to expand

• Binding http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 could not be expanded (1 uses)
• WARNING: ValueSet.where(id = 'HealthcareServiceEligibilityCodeVS'): Unable to expand included value set 'http://hl7.org/fhir/ValueSet/condition-code': The value set 'http://hl7.org/fhir/ValueSet/condition-code|4.0.1' expansion has too many codes to produce (>1000) (and Error from https://tx.fhir.org/r4: Error: The value set 'http://hl7.org/fhir/ValueSet/condition-code' expansion has too many codes to produce (>10000)) (2 uses)

Errors sorted by type

Terminology_TX_NoValid_3_CC