Validation Results for NationalDirectoryHealthcare

Generated Wed Jul 22 21:04:46 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: v2.2.11
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. 64 of 269 (23%) 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:	99 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 7.2.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/7.2.0 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 O R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 Latest Release is 7.2.0 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 9.0.0 hl7.terminology.r4 5.0.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 Latest Release is 7.2.0 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 7.2.0 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 (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 7.2.0 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 7.2.0 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 7.2.0 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 7.2.0 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 9.0.0 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 9.0.0 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 9.0.0 hl7.terminology.r4 5.5.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.5.0 Latest Release is 7.2.0 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 7.2.0 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 7.2.0 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 9.0.0 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.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:	1 issue
R5 Dependencies:	http://hl7.org/fhir/5.0/StructureDefinition/extension-ImplementationGuide.dependsOn.reason
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), Condition/Problem/DiagnosisCodes (1 uses), ProcedureCodes(SNOMEDCT) (1 uses), OrganizationAffiliationRole (3 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 = 1, info = 0, broken links = 0, pinned = 26 (when multiples). Show Message Ids

n/a Show Validation Information

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:% (0 uses)
• The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause:% (5 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_ (31 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 NdhInsuranceBenefitTypeCS has been identified as currently immature and needing to be refined in the NDH before it can be evaluated for THO. It includes overlap in definition and concepts with CS already in THO

• INFORMATION: CodeSystem/NdhInsuranceBenefitTypeCS: 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

• The ImplementationGuide uses package hl7.fhir.us.core#6.1.0 released on 2023-06-30, but the most recent appropriate version is 9.0.0. 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

• INFORMATION: Parameters/parameters-snomed-us: Parameters.parameter[0]: The parameter 'system-version' has the same name as a parameter for at least one operation in the core specification. In the base specification, the parameter has a type of canonical, but this parameter instead has a value of type string. Check that this is correct (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)

This is the best FML can support to indicate to NOT bring over a given element/extension

• INFORMATION: StructureMap/PlanNetToNdhEndpointSM: StructureMap.group[0].rule[0].source[0]: The source statement doesn't assign a variable to the source - check that this is what is intended (0 uses)
• WARNING: StructureMap/PlanNetToNdhEndpointSM: StructureMap.group[0].rule[0].source[0]: The target path src.extension refers to the path Endpoint.extension which could be a reference to multiple elements (Endpoint.extension, Endpoint.extension:endpoint-usecase). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhHealthcareServiceSM: StructureMap.group[0].rule[13].source[0]: The target path src.category refers to the path HealthcareService.category which could be a reference to multiple elements (HealthcareService.category, HealthcareService.category:plan-net-category). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhHealthcareServiceSM: StructureMap.group[0].rule[2].source[0]: The target path src.extension refers to the path HealthcareService.extension which could be a reference to multiple elements (HealthcareService.extension, HealthcareService.extension:newpatients, HealthcareService.extension:deliverymethod). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhHealthcareServiceSM: StructureMap.group[0].rule[3].source[0]: The target path src.extension refers to the path HealthcareService.extension which could be a reference to multiple elements (HealthcareService.extension, HealthcareService.extension:newpatients, HealthcareService.extension:deliverymethod). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhHealthcareServiceSM: StructureMap.group[0].rule[7].rule[5].source[0]: The target path vTelecomSrc.extension refers to the path HealthcareService.telecom.extension which could be a reference to multiple elements (HealthcareService.telecom.extension, HealthcareService.telecom.extension:contactpoint-availabletime, HealthcareService.telecom.extension:via-intermediary). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhHealthcareServiceSM: StructureMap.group[0].rule[7].rule[6].source[0]: The target path vTelecomSrc.extension refers to the path HealthcareService.telecom.extension which could be a reference to multiple elements (HealthcareService.telecom.extension, HealthcareService.telecom.extension:contactpoint-availabletime, HealthcareService.telecom.extension:via-intermediary). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhLocationSM: StructureMap.group[0].rule[12].rule[5].source[0]: The target path vTelecomSrc.extension refers to the path Location.telecom.extension which could be a reference to multiple elements (Location.telecom.extension, Location.telecom.extension:contactpoint-availabletime, Location.telecom.extension:via-intermediary). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhLocationSM: StructureMap.group[0].rule[12].rule[6].source[0]: The target path vTelecomSrc.extension refers to the path Location.telecom.extension which could be a reference to multiple elements (Location.telecom.extension, Location.telecom.extension:contactpoint-availabletime, Location.telecom.extension:via-intermediary). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhLocationSM: StructureMap.group[0].rule[2].source[0]: The target path src.extension refers to the path Location.extension which could be a reference to multiple elements (Location.extension, Location.extension:newpatients, Location.extension:accessibility, Location.extension:region). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhLocationSM: StructureMap.group[0].rule[3].source[0]: The target path src.extension refers to the path Location.extension which could be a reference to multiple elements (Location.extension, Location.extension:newpatients, Location.extension:accessibility, Location.extension:region). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhLocationSM: StructureMap.group[0].rule[4].source[0]: The target path src.extension refers to the path Location.extension which could be a reference to multiple elements (Location.extension, Location.extension:newpatients, Location.extension:accessibility, Location.extension:region). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhNetworkSM: StructureMap.group[0].rule[2].source[0]: The target path src.extension refers to the path Organization.extension which could be a reference to multiple elements (Organization.extension, Organization.extension:location-reference). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhNetworkSM: StructureMap.group[0].rule[3].source[0]: The target path src.identifier refers to the path Organization.identifier which could be a reference to multiple elements (Organization.identifier, Organization.identifier:NPI, Organization.identifier:CLIA, Organization.identifier:NAIC). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhNetworkSM: StructureMap.group[0].rule[9].rule[2].rule[5].source[0]: The target path vTelecomSrc.extension refers to the path Organization.contact.telecom.extension which could be a reference to multiple elements (Organization.contact.telecom.extension, Organization.contact.telecom.extension:contactpoint-availabletime, Organization.contact.telecom.extension:via-intermediary). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhNetworkSM: StructureMap.group[0].rule[9].rule[2].rule[6].source[0]: The target path vTelecomSrc.extension refers to the path Organization.contact.telecom.extension which could be a reference to multiple elements (Organization.contact.telecom.extension, Organization.contact.telecom.extension:contactpoint-availabletime, Organization.contact.telecom.extension:via-intermediary). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhOrganizationSM: StructureMap.group[0].rule[0].source[0]: The target path src.extension refers to the path Organization.extension which could be a reference to multiple elements (Organization.extension, Organization.extension:qualification, Organization.extension:org-description, Organization.extension:org-period). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhOrganizationSM: StructureMap.group[0].rule[12].rule[1].rule[5].source[0]: The target path vContactTelecomSrc.extension refers to the path Organization.contact.telecom.extension which could be a reference to multiple elements (Organization.contact.telecom.extension, Organization.contact.telecom.extension:contactpoint-availabletime, Organization.contact.telecom.extension:via-intermediary). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhOrganizationSM: StructureMap.group[0].rule[12].rule[1].rule[6].source[0]: The target path vContactTelecomSrc.extension refers to the path Organization.contact.telecom.extension which could be a reference to multiple elements (Organization.contact.telecom.extension, Organization.contact.telecom.extension:contactpoint-availabletime, Organization.contact.telecom.extension:via-intermediary). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhOrganizationSM: StructureMap.group[0].rule[3].source[0]: The target path src.extension refers to the path Organization.extension which could be a reference to multiple elements (Organization.extension, Organization.extension:qualification, Organization.extension:org-description, Organization.extension:org-period). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhOrganizationSM: StructureMap.group[0].rule[4].source[0]: The target path src.identifier refers to the path Organization.identifier which could be a reference to multiple elements (Organization.identifier, Organization.identifier:NPI, Organization.identifier:CLIA, Organization.identifier:NAIC). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhOrganizationSM: StructureMap.group[0].rule[9].rule[5].source[0]: The target path vTelecomSrc.extension refers to the path Organization.telecom.extension which could be a reference to multiple elements (Organization.telecom.extension, Organization.telecom.extension:contactpoint-availabletime, Organization.telecom.extension:via-intermediary). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhOrganizationSM: StructureMap.group[0].rule[9].rule[6].source[0]: The target path vTelecomSrc.extension refers to the path Organization.telecom.extension which could be a reference to multiple elements (Organization.telecom.extension, Organization.telecom.extension:contactpoint-availabletime, Organization.telecom.extension:via-intermediary). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhPractitionerRoleSM: StructureMap.group[0].rule[14].rule[5].source[0]: The target path vTelecomSrc.extension refers to the path PractitionerRole.telecom.extension which could be a reference to multiple elements (PractitionerRole.telecom.extension, PractitionerRole.telecom.extension:contactpoint-availabletime, PractitionerRole.telecom.extension:via-intermediary). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhPractitionerRoleSM: StructureMap.group[0].rule[14].rule[6].source[0]: The target path vTelecomSrc.extension refers to the path PractitionerRole.telecom.extension which could be a reference to multiple elements (PractitionerRole.telecom.extension, PractitionerRole.telecom.extension:contactpoint-availabletime, PractitionerRole.telecom.extension:via-intermediary). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhPractitionerRoleSM: StructureMap.group[0].rule[2].source[0]: The target path src.extension refers to the path PractitionerRole.extension which could be a reference to multiple elements (PractitionerRole.extension, PractitionerRole.extension:newpatients, PractitionerRole.extension:network-reference, PractitionerRole.extension:qualification). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhPractitionerRoleSM: StructureMap.group[0].rule[3].source[0]: The target path src.extension refers to the path PractitionerRole.extension which could be a reference to multiple elements (PractitionerRole.extension, PractitionerRole.extension:newpatients, PractitionerRole.extension:network-reference, PractitionerRole.extension:qualification). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhPractitionerRoleSM: StructureMap.group[0].rule[4].source[0]: The target path src.extension refers to the path PractitionerRole.extension which could be a reference to multiple elements (PractitionerRole.extension, PractitionerRole.extension:newpatients, PractitionerRole.extension:network-reference, PractitionerRole.extension:qualification). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhPractitionerSM: StructureMap.group[0].rule[11].rule[2].source[0]: The target path vCommunicationSrc.extension refers to the path Practitioner.communication.extension which could be a reference to multiple elements (Practitioner.communication.extension, Practitioner.communication.extension:communication-proficiency). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhPractitionerSM: StructureMap.group[0].rule[12].rule[0].source[0]: The target path vQualificationSrc.extension refers to the path Practitioner.qualification.extension which could be a reference to multiple elements (Practitioner.qualification.extension, Practitioner.qualification.extension:practitioner-qualification). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhPractitionerSM: StructureMap.group[0].rule[3].source[0]: The target path src.identifier refers to the path Practitioner.identifier which could be a reference to multiple elements (Practitioner.identifier, Practitioner.identifier:NPI). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhPractitionerSM: StructureMap.group[0].rule[9].rule[5].source[0]: The target path vTelecomSrc.extension refers to the path Practitioner.telecom.extension which could be a reference to multiple elements (Practitioner.telecom.extension, Practitioner.telecom.extension:contactpoint-availabletime, Practitioner.telecom.extension:via-intermediary). No further checking can be performed (1 uses)
• WARNING: StructureMap/PlanNetToNdhPractitionerSM: StructureMap.group[0].rule[9].rule[6].source[0]: The target path vTelecomSrc.extension refers to the path Practitioner.telecom.extension which could be a reference to multiple elements (Practitioner.telecom.extension, Practitioner.telecom.extension:contactpoint-availabletime, Practitioner.telecom.extension:via-intermediary). No further checking can be performed (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)

defined example valueSet/CodeSystem to make the examples more understandable

• INFORMATION: CodeSystem/ndh-example-rating-type: 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: Organization/ExampleHospitalRating: Organization.extension[0].extension[0].value.ofType(CodeableConcept): Reference to experimental CodeSystem http://hl7.org/fhir/us/ndh/CodeSystem/ndh-example-rating-type|2.0.0-current (1 uses)
• WARNING: CodeSystem/ndh-example-rating-type: CodeSystem.concept[0]: HL7 Defined CodeSystems should ensure that every concept has a definition (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)

known draft codesystem in THO

• MSG_DRAFT (0 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 deviation from core FHIR

• None of the codings provided are in the value set 'Practice Setting Code Value Set' (http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1), and a coding is recommended to come from this value set (codes = http://nucc.org/provider-taxonomy#3336C0003X) (1 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