Validation Results for PCO

Generated Thu Apr 02 15:00:57 UTC 2026, FHIR version 4.0.1 for hl7.fhir.us.pco#1.0.0 (canonical = http://hl7.org/fhir/us/pco (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.2.4
Publication Code:	pco . PackageId = hl7.fhir.us.pco, Canonical = http://hl7.org/fhir/us/pco
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. 31 of 66 (46%) of resources have a language. Population Policy: NONE
Publication Request:	package-id hl7.fhir.us.pco version 1.0.0 path http://hl7.org/fhir/us/pco/STU1 Pub-Mode milestone status trial-use Release-Label STU 1 Sequence (Group) STU 1 (current: n/a, others = 'STU 1') desc Published version for STU 1 descmd Published version for STU 1 changes RelatedIgs (None Found) No Messages found - all good
Supressed Messages:	17 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment hl7.fhir.us.pco 1.0.0 R4 http://hl7.org/fhir/us/pco 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 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 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 5.2.0 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 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) hl7.fhir.us.cqfmeasures 5.0.0 M R4 http://hl7.org/fhir/us/cqfmeasures http://hl7.org/fhir/us/cqfmeasures/STU5 hl7.terminology.r4 6.0.2 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.0.2 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 5.2.0 hl7.fhir.uv.crmi 1.0.0 M R4 http://hl7.org/fhir/uv/crmi http://hl7.org/fhir/uv/crmi/STU1 hl7.terminology 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.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 5.2.0 hl7.fhir.uv.extensions.r4 5.1.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 (as above). Latest Release is 5.2.0 hl7.fhir.uv.cql 1.0.0 O R4 http://hl7.org/fhir/uv/cql http://hl7.org/fhir/uv/cql/STU1 Latest Release is 2.0.0 hl7.terminology 5.5.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.5.0 (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 5.2.0 hl7.fhir.uv.cql 2.0.0 M R4 http://hl7.org/fhir/uv/cql http://hl7.org/fhir/uv/cql/STU2 hl7.terminology.r4 6.5.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.5.0 Latest Release is 7.1.0 hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) fhir.cqf.common 4.0.1 U R4 http://fhir.org/guides/cqf/common http://fhir.org/guides/cqf/common/4.0.1 hl7.fhir.uv.cpg 1.0.0 O R4 http://hl7.org/fhir/uv/cpg http://hl7.org/fhir/uv/cpg/STU1 Latest Release is 2.0.0 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.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:	fhir.cqf.common#4.0.1: CQFCommon (1 uses) hl7.fhir.r4.core#4.0.1: GuideParameterCode (19 uses), CommonLanguages (10 uses), CarePlan (15 uses), PlanDefinition (2 uses), Questionnaire (2 uses), Measure (2 uses), ActivityDefinition (2 uses), RequestStatus (1 uses), CarePlanIntent (1 uses), CarePlanCategory (2 uses), Encounter (7 uses), Practitioner (5 uses), PractitionerRole (9 uses), Device (9 uses), RelatedPerson (4 uses), Organization (3 uses), CareTeam (4 uses), Condition (7 uses), Goal (13 uses), CarePlanActivityOutcome (1 uses), Appointment (1 uses), CommunicationRequest (1 uses), DeviceRequest (6 uses), MedicationRequest (6 uses), NutritionOrder (6 uses), Task (1 uses), ServiceRequest (6 uses), VisionPrescription (1 uses), RequestGroup (1 uses), CarePlanActivityKind (1 uses), ProcedureCodes(SNOMEDCT) (1 uses), SNOMEDCTClinicalFindings (4 uses), DiagnosticReport (1 uses), DocumentReference (1 uses), CarePlanActivityStatus (1 uses), Location (1 uses), HealthcareService (1 uses), Medication (1 uses), Substance (1 uses), SNOMEDCTMedicationCodes (1 uses), GoalLifecycleStatus (3 uses), GoalAchievementStatus (3 uses), GoalCategory (3 uses), GoalPriority (3 uses), LOINCCodes (7 uses), RiskAssessment (4 uses), ImmunizationRecommendation (5 uses), MedicationAdministration (5 uses), MedicationDispense (5 uses), MedicationStatement (5 uses), Procedure (5 uses), Immunization (5 uses), ImagingStudy (9 uses), ObservationCategoryCodes (9 uses), SNOMEDCTBodyStructures (5 uses), ObservationMethods (5 uses), Specimen (5 uses), DeviceMetric (5 uses), ObservationReferenceRangeMeaningCodes (5 uses), ObservationReferenceRangeAppliesToCodes (5 uses), QuestionnaireResponse (4 uses), MolecularSequence (8 uses), Media (4 uses), List (4 uses), ListStatus (1 uses), ListMode (1 uses), ExampleUseCodesForList (1 uses), ListOrderCodes (1 uses), PatientMedicineChangeTypes (1 uses), ListEmptyReasons (1 uses) hl7.fhir.us.cqfmeasures#5.0.0: CQFMeasures (1 uses) hl7.fhir.uv.extensions.r4#5.2.0: SDStatusDerivation (62 uses), TypeMustSupport (98 uses), CQFCQLOptions (5 uses) hl7.fhir.uv.sdc#3.0.0: SDCBaseQuestionnaire (1 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Comparison with version 1.0.0-ballot
IPA Comparison:	n/a
IPS Comparison:	n/a
Validation Flags:	On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Summary:	errors = 0, warn = 0, info = 0, broken links = 0, pinned = n/a. Show Message Ids

n/a Show Validation Information

Suppressed Messages (Warnings, hints, broken links)

Based on US Core 6.1.0 for compatibility with current EHR system requirements and capabilities.

• %Observation.category[0]: Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/observation-category|0.1.0 (2 uses)
• WARNING: ImplementationGuide/hl7.fhir.us.pco: 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)

Examples have optional slices that are not defined in the profile - not matching is expected behaviour

• %This element does not match any known slice defined in the profile http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire% (38 uses)

Suppress deprecation message from extension used in snapshot

• INFORMATION: StructureDefinition/pco-care-plan: StructureDefinition.snapshot.element[4].binding.extension[0]: The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.2.0 is deprecated (1 uses)

Suppress information messages on LOINC code display names for PROM Target Measure Scores; Questionnaire resources were generated by LOINC.org

• %Wrong Display Name 'Generalized anxiety disorder 7 item (GAD-7) total score'% (1 uses)
• %Wrong Display Name 'PROMIS% (31 uses)
• %Wrong Display Name 'Patient health questionnaire 9 item (PHQ-9) total score'% (1 uses)

Suppress information messages on use of experimental PCO code systems with -temporary identifiers, per Terminology Playbook guidance

• %Reference to experimental CodeSystem http://hl7.org/fhir/us/pco/CodeSystem% (87 uses)
• INFORMATION: CodeSystem/pco-concepts-temporary: 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/pco-goal-domains-temporary: 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/personal-health-inventory-temporary: 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/readiness-assessment-concepts-temporary: 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/what-matters-concepts-temporary: 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)

Suppress warnings on informative Measure resources that do not include library artifacts in this IG; see resolution in Jira #FHIR-50731

• % Artifact library could not be found so no data requirements were inferred. (2 uses)

Supress information message for use of SHALL in IG overview about reading a formal_specification

• INFORMATION: en/formal_specification.html: The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause: 'This section defines additional requirements and guidance relevant to this IG as a whole. The FHIR Conformance Rules define the conformance verbs - SHALL, SHOULD, MAY - used in this IG.' (1 uses)

Supress this reference generated by the HL7 publisher tooling

• %CarePlan.text.status: Reference to draft CodeSystem http://hl7.org/fhir/narrative-status|4.0.1 (1 uses)

These warnings will be eliminated when US Core is updated.

• SD_PATH_SLICING_DEPRECATED (6 uses)

Errors sorted by type