Validation Results for IHE_ITI_MHD

Generated Wed Apr 01 07:15:38 UTC 2026, FHIR version 4.0.1 for ihe.iti.mhd#4.2.4-current (canonical = https://profiles.ihe.net/ITI/MHD (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.2.4
Publication Code:	n/a . PackageId = ihe.iti.mhd, Canonical = https://profiles.ihe.net/ITI/MHD
Realm Check for n/a:	n/a
Language Info:	This IG has no language information
Publication Request:	RelatedIgs (None Found) Publication Request is for v'4.2.3' but package version is v4.2.4-current Publication Request is for version v4.2.3 which is already published
Supressed Messages:	37 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment ihe.iti.mhd 4.2.4-current R4 https://profiles.ihe.net/ITI/MHD 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.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) ihe.iti.balp 1.1.4 M R4 https://profiles.ihe.net/ITI/BALP https://profiles.ihe.net/ITI/BALP/1.1.4 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) ihe.formatcode.fhir 1.4.0 O R4 https://profiles.ihe.net/fhir/ihe.formatcode.fhir https://profiles.ihe.net/fhir/ihe.formatcode.fhir/1.4.0 Matched to latest patch release (1.4.x->1.4.0). Latest Release is 1.5.0 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 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) 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: ihe.fhir.template#1.0.0 -> fhir.base.template#1.0.0
Related IGs:	n/a
Dependent IGs:	no references
Global Profiles:	(none declared)
Terminology Server(s):	http://tx.fhir.org/r4, https://tx.fhir.ch/r4, https://tx.fhir.org/r4, https://tx.hl7.org.au/fhir, https://tx.hl7chile.cl/r4, https://tx.hl7europe.eu/r4, https://tx.ontoserver.csiro.au/fhir (details)
HTA Analysis:	Non-HL7 Igs are exempt from terminology dependency analysis
R5 Dependencies:	(none)
Draft Dependencies:	hl7.fhir.r4.core#4.0.1: GuideParameterCode (14 uses), CompositionAttestationMode (5 uses), DocumentRelationshipType (7 uses), AllergyIntoleranceType (3 uses), DocumentReferenceStatus (6 uses), CommonTags (11 uses), CommonLanguages (36 uses), CompositionStatus (4 uses), Practitioner (77 uses), PractitionerRole (75 uses), Organization (89 uses), Device (73 uses), RelatedPerson (65 uses), DocumentRelationshipType (4 uses), DocumentReference (19 uses), Encounter (10 uses), EpisodeOfCare (4 uses), List (27 uses), ListStatus (6 uses), ListMode (6 uses), ListOrderCodes (6 uses), PatientMedicineChangeTypes (6 uses), ListEmptyReasons (6 uses), AuditEventAction (12 uses), AuditEventOutcome (12 uses), ParticipationRoleType (42 uses), SecurityRoleType (46 uses), Location (49 uses), AuditEventAgentNetworkType (46 uses), AuditEvent (47 uses), AuditEventEntityType (45 uses), AuditEventEntityRole (39 uses), ObjectLifecycleEvents (45 uses), Group (3 uses), DocumentReferenceStatus (1 uses), _id (8 uses), _lastUpdated (8 uses), _content (2 uses), category (4 uses), date (4 uses), event (4 uses), facility (4 uses), format (4 uses), identifier (8 uses), patient (12 uses), period (4 uses), related (4 uses), security-label (4 uses), setting (4 uses), status (4 uses), code (4 uses), date (4 uses), status (4 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Comparison with version 5.0.0
IPA Comparison:	n/a
IPS Comparison:	n/a
Validation Flags:	On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Summary:	errors = 0, warn = 17, info = 0, broken links = 2, pinned = n/a. Show Message Ids

n/a Show Validation Information

fsh-generated/resources/Bundle-ex-comprehensiveProvideDocumentBundleDocument.json Show Validation Information (19)

fsh-generated/resources/ImplementationGuide-ihe.iti.mhd.json Show Validation Information (1)

fsh-generated/resources/Parameters-ex-input-doc-bundle.json Show Validation Information (10)

Suppressed Messages (Warnings, hints, broken links)

FHIR R4 had the valueset setup wrong. We are using the proper system value

• The Coding provided (http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode#urn:ihe:iti:xds-sd:text:2008) was not found in the value set 'DocumentReference Format Code Set' (http://hl7.org/fhir/ValueSet/formatcodes|4.0.1), and a code is recommended to come from this value set. (error message = The provided code 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode#urn:ihe:iti:xds-sd:text:2008' was not found in the value set 'http://hl7.org/fhir/ValueSet/formatcodes|4.0.1') (1 uses)

IHE code system used but never defined by IHE as a formal codeSystem

• A definition for CodeSystem 'urn:ihe:event-type-code' could not be found, so the code cannot be validated (37 uses)

The IG intentionally uses markup-like markers in example string values to demonstrate highlighting of full-text search results.

• The string value contains text that looks like embedded HTML tags. If this content is rendered to HTML without appropriate post-processing, it may be a security risk (2 uses)

The concept map is from EB-Registry defined values, so we are using rfc3986. not a problem the source checking isn't done

• The Source Code System urn:ietf:rfc:3986 is not fully defined and populated, and no sourceScope is specified, so the source code checking will not be performed (1 uses)

The concept map is from a conceptual valueset from IHE, so there is no formal definition. not a problem the source checking isn't done

• The Source Code System urn:ihe:iti:2007:AssociationType is not fully defined and populated, and no sourceScope is specified, so the source code checking will not be performed (1 uses)

YES we know some examples use old codes. That old code use is not important to the example use

• WARNING: Bundle/FindDocumentReferences: Bundle.entry[0].resource.context.facilityType.coding[0]: The concept '264358009' has a status of inactive and its use should be reviewed (1 uses)
• WARNING: Bundle/FindDocumentReferences: Bundle.entry[0].resource/*DocumentReference/50383ae5-49e5-4dea-b0e6-660cb9e7b91f*/.context.facilityType.coding[0]: The concept '264358009' has a status of inactive and its use should be reviewed (0 uses)

YES we want to point informatively at MHDS and NOT to have a dependency.

• The link 'https://profiles.ihe.net/ITI/MHDS' for "MHDS" cannot be resolved (1 uses)
• The link 'https://profiles.ihe.net/ITI/MHDS/volume-1.html#150111-document-registry' for "Document Registry" cannot be resolved (1 uses)

borrowed Document Bundle has issues that we don't care about (note removed signature as that threw errors)

• All_observations_should_have_a_performer (2 uses)
• All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod (2 uses)
• WARNING: Bundle/ex-comprehensiveProvideDocumentBundleDocument: Bundle.entry[2].resource.entry[4].resource/*Observation/fdoc-observation*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (0 uses)
• WARNING: Bundle/ex-comprehensiveProvideDocumentBundleDocument: Bundle.entry[2].resource.entry[5].resource/*MedicationRequest/fdoc-medicationrequest*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (0 uses)
• WARNING: Bundle/ex-comprehensiveProvideDocumentBundleDocument: Bundle.entry[2].resource.entry[6].resource/*MedicationStatement/fdoc-medicationstatement*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (0 uses)
• WARNING: Bundle/ex-comprehensiveProvideDocumentBundleDocument: Bundle.entry[2].resource.entry[7].resource/*AllergyIntolerance/fdoc-allergyintolerance*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (0 uses)
• WARNING: Bundle/ex-comprehensiveProvideDocumentBundleDocument: Bundle.entry[2].resource/*Bundle/ex-fhir-document-bundle*/.entry[1].resource/*Practitioner/fdoc-practitioner*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (0 uses)
• WARNING: Bundle/ex-comprehensiveProvideDocumentBundleDocument: Bundle.entry[2].resource/*Bundle/ex-fhir-document-bundle*/.entry[2].resource/*Patient/fdoc-patient*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (0 uses)
• WARNING: Bundle/ex-comprehensiveProvideDocumentBundleDocument: Bundle.entry[2].resource/*Bundle/ex-fhir-document-bundle*/.entry[3].resource/*Encounter/fdoc-encounter*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (0 uses)
• WARNING: Parameters/ex-input-doc-bundle: Parameters.parameter[0].resource/*Bundle/ex-fhir-document-bundle*/.entry[0].resource/*Composition/180f219f-97a8-486d-99d9-ed631fe4fc57*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (0 uses)
• WARNING: Parameters/ex-input-doc-bundle: Parameters.parameter[0].resource/*Bundle/ex-fhir-document-bundle*/.entry[1].resource/*Practitioner/fdoc-practitioner*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (0 uses)
• WARNING: Parameters/ex-input-doc-bundle: Parameters.parameter[0].resource/*Bundle/ex-fhir-document-bundle*/.entry[2].resource/*Patient/fdoc-patient*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (0 uses)
• WARNING: Parameters/ex-input-doc-bundle: Parameters.parameter[0].resource/*Bundle/ex-fhir-document-bundle*/.entry[3].resource/*Encounter/fdoc-encounter*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (0 uses)
• WARNING: Parameters/ex-input-doc-bundle: Parameters.parameter[0].resource/*Bundle/ex-fhir-document-bundle*/.entry[4].resource/*Observation/fdoc-observation*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (0 uses)
• WARNING: Parameters/ex-input-doc-bundle: Parameters.parameter[0].resource/*Bundle/ex-fhir-document-bundle*/.entry[4].resource: Best Practice Recommendation: In general, all observations should have a performer (1 uses)
• WARNING: Parameters/ex-input-doc-bundle: Parameters.parameter[0].resource/*Bundle/ex-fhir-document-bundle*/.entry[4].resource: Best Practice Recommendation: In general, all observations should have an effective[x] () (1 uses)
• WARNING: Parameters/ex-input-doc-bundle: Parameters.parameter[0].resource/*Bundle/ex-fhir-document-bundle*/.entry[5].resource/*MedicationRequest/fdoc-medicationrequest*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (0 uses)
• WARNING: Parameters/ex-input-doc-bundle: Parameters.parameter[0].resource/*Bundle/ex-fhir-document-bundle*/.entry[6].resource/*MedicationStatement/fdoc-medicationstatement*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (0 uses)
• WARNING: Parameters/ex-input-doc-bundle: Parameters.parameter[0].resource/*Bundle/ex-fhir-document-bundle*/.entry[7].resource/*AllergyIntolerance/fdoc-allergyintolerance*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (0 uses)

comes from core. Not anything we can document

• The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.2.0 is deprecated (1 uses)

profile for MHD that is just structural and thus has no examples

• WARNING: StructureDefinition.where(url = 'https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.List'): The Implementation Guide contains no examples for this profile (1 uses)

some examples are underpopulated, the full population is not important for the use-case being explained

• WARNING: Bundle/ex-comprehensiveProvideDocumentBundleDocument: Bundle.entry[2].resource.entry[0].resource/*Composition/180f219f-97a8-486d-99d9-ed631fe4fc57*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (0 uses)
• WARNING: Bundle/ex-comprehensiveProvideDocumentBundleDocument: Bundle.entry[2].resource.entry[4].resource: Best Practice Recommendation: In general, all observations should have a performer (0 uses)
• WARNING: Bundle/ex-comprehensiveProvideDocumentBundleDocument: Bundle.entry[2].resource.entry[4].resource: Best Practice Recommendation: In general, all observations should have an effective[x] () (0 uses)
• WARNING: Bundle/ex-fhir-document-bundle: Bundle.entry[4].resource: Best Practice Recommendation: In general, all observations should have a performer (0 uses)
• WARNING: Bundle/ex-fhir-document-bundle: Bundle.entry[4].resource: Best Practice Recommendation: In general, all observations should have an effective[x] () (0 uses)

these are all examples that are good enough

• Type_Specific_Checks_DT_URL_Resolve (28 uses)

yes we know we are using non normative resources and valuesets

• MSG_DRAFT (23 uses)

Errors sorted by type

IG_DEPENDENCY_VERSION_WARNING_OLD