Validation Results for IHE_ITI_MHD

Generated Mon Nov 03 18:55:04 UTC 2025, FHIR version 5.0.0 for ihe.iti.mhd#5.0.0-current (canonical = https://profiles.ihe.net/ITI/MHD (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.0.25
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'5.0.0-comment' but package version is v5.0.0-current Publication Request is for version v5.0.0-comment which is already published
Supressed Messages:	26 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment ihe.iti.mhd 5.0.0-current R5 https://profiles.ihe.net/ITI/MHD hl7.terminology.r5 6.5.0 M R5 http://terminology.hl7.org http://terminology.hl7.org/6.5.0 hl7.fhir.uv.extensions.r5 5.2.0 M R5 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 hl7.fhir.uv.extensions.r5 5.2.0 M R5 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) hl7.fhir.uv.tools.r5 0.8.0 M R5 http://hl7.org/fhir/tools http://hl7.org/fhir/tools/0.8.0 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/r5, https://tx.fhir.org/r5 (details)
HTA Analysis:	Non-HL7 Igs are exempt from terminology dependency analysis
R5 Dependencies:	(none)
Draft Dependencies:	hl7.fhir.r5.core#5.0.0: GuideParameterCode (14 uses), DocumentReferenceStatus (2 uses), AuditEvent (71 uses), AuditEventID (102 uses), AuditEventSubType (18 uses), AuditEventAction (18 uses), AuditEventSeverity (18 uses), AuditEventOutcome (18 uses), AuditEventOutcomeDetail (18 uses), CarePlan (22 uses), DeviceRequest (22 uses), ImmunizationRecommendation (22 uses), MedicationRequest (22 uses), NutritionOrder (22 uses), ServiceRequest (22 uses), Task (18 uses), Encounter (28 uses), ParticipationRoleType (64 uses), SecurityRoleType (70 uses), Practitioner (107 uses), PractitionerRole (105 uses), Organization (139 uses), CareTeam (100 uses), Device (102 uses), RelatedPerson (107 uses), Location (90 uses), Endpoint (70 uses), AuditEventEntityRole (56 uses), SecurityLabelExamples (70 uses), ResourceType (22 uses), DocumentReference (27 uses), CommonTags (11 uses), Appointment (8 uses), AppointmentResponse (4 uses), Claim (4 uses), CommunicationRequest (4 uses), Contract (4 uses), CoverageEligibilityRequest (4 uses), EnrollmentRequest (4 uses), RequestOrchestration (4 uses), SupplyRequest (4 uses), VisionPrescription (4 uses), CompositionStatus (4 uses), FHIRDocumentTypeCodes (4 uses), ReferencedItemCategoryValueSet (4 uses), EpisodeOfCare (4 uses), BodyStructure (4 uses), SNOMEDCTBodyStructures (4 uses), FacilityTypeCodeValueSet (4 uses), PracticeSettingCodeValueSet (4 uses), CompositionAttestationMode (4 uses), DocumentRelationshipType (4 uses), List (15 uses), ListStatus (6 uses), ListMode (6 uses), ListOrderCodes (6 uses), PatientMedicineChangeTypes (6 uses), ListEmptyReasons (6 uses), DocumentReferenceStatus (1 uses), Group (2 uses), category (2 uses), creation (2 uses), date (4 uses), event-reference (4 uses), facility (2 uses), format-code (2 uses), identifier (4 uses), patient (6 uses), period (2 uses), relatesto (2 uses), security-label (2 uses), setting (2 uses), status (2 uses), code (2 uses), status (2 uses) hl7.fhir.uv.extensions.r5#5.2.0: DRSourcePatient (24 uses), SDTypeCharacteristics (5 uses) hl7.terminology.r5#6.5.0: DoseAndRateType (3 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Comparison with version 5.0.0-comment
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 = 4, pinned = n/a. Show Message Ids

n/a Show Validation Information

Suppressed Messages (Warnings, hints, broken links)

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 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

• TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE (1 uses)
• 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)

The fdoc example fhir document is just a sample.

• Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (15 uses)

These are profiles imported from BALP, and thus no examples are relevant here.

• WARNING: StructureDefinition.where(url = 'https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.BasicAudit.MHD5.Create'): The Implementation Guide contains no examples for this profile (1 uses)
• WARNING: StructureDefinition.where(url = 'https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.BasicAudit.MHD5.PatientCreate'): The Implementation Guide contains no examples for this profile (1 uses)
• WARNING: StructureDefinition.where(url = 'https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.BasicAudit.MHD5.PatientQuery'): The Implementation Guide contains no examples for this profile (1 uses)
• WARNING: StructureDefinition.where(url = 'https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.BasicAudit.MHD5.PatientRead'): The Implementation Guide contains no examples for this profile (1 uses)
• WARNING: StructureDefinition.where(url = 'https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.BasicAudit.MHD5.Query'): The Implementation Guide contains no examples for this profile (1 uses)
• WARNING: StructureDefinition.where(url = 'https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.BasicAudit.MHD5.Read'): The Implementation Guide contains no examples for this profile (1 uses)

Used in an example

• WARNING: Bundle/FindDocumentReferences: Bundle.entry[0].resource.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*/.facilityType.coding[0]: The concept '264358009' has a status of inactive and its use should be reviewed (1 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)

known and a problem in fhir core

• MSG_DEPRECATED (76 uses)
• MSG_EXPERIMENTAL (14 uses)
• SD_ED_EXPERIMENTAL_BINDING (92 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) (1 uses)
• WARNING: Bundle/ex-comprehensiveProvideDocumentBundleDocument: Bundle.entry[2].resource.entry[4].resource: Best Practice Recommendation: In general, all observations should have a performer (1 uses)

the addition of a narrative in the R5 version pointing back to the R4 version causes the IG Publisher to give an error, this because it knows that the target is an IG and it knows that this IG didn't depend on that IG (which we certainly don't want to do). So the best we can do is ignore the warning.

• The link 'https://profiles.ihe.net/ITI/MHD/index.html' for "https://profiles.ihe.net/ITI/MHD" cannot be resolved (1 uses)

these are all examples that are good enough

• All_observations_should_have_a_performer (6 uses)
• All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod (7 uses)
• Type_Specific_Checks_DT_URL_Resolve (23 uses)

yes we know we are using non normative resources and valuesets

• MSG_DRAFT (25 uses)

Errors sorted by type