Validation Results for IHE_ITI_MHD

Generated Thu Oct 30 16:26:26 UTC 2025, FHIR version 4.0.1 for ihe.iti.mhd#4.2.3 (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:	package-id ihe.iti.mhd version 4.2.3 path https://profiles.ihe.net/ITI/MHD/4.2.3 Pub-Mode milestone status trial-use Release-Label Trial-Implementation Sequence (Group) Publication (current: 'Publication', others = n/a) desc Trial Implementation - Quality improvements. descmd Version 4.2.3 Quality improvements conversion of json examples to sushi addition of an indication of use of FHIR R4 on index.html page remove narrative comment about masterIdentifier in the CapabilityStatements for List Identifier profiles mandate .use is populated changes a_issues.html RelatedIgs (None Found) Dependency on ihe.iti.balp is to the current version - not allowed
Supressed Messages:	47 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment ihe.iti.mhd 4.2.3 R4 https://profiles.ihe.net/ITI/MHD hl7.terminology.r4 6.5.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/6.5.0 hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 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-current V R4 https://profiles.ihe.net/ITI/BALP https://build.fhir.org/ig/IHE/ITI.BasicAudit/ Matched to latest patch release (current->1.1.4-current) hl7.terminology.r4 6.5.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/6.5.0 (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 M 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) hl7.terminology.r4 6.3.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.3.0 Latest Release is 6.5.0 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.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 0.8.0 M R4 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/r4, https://tx.fhir.org/r4 (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 (2 uses), CommonTags (11 uses), CommonLanguages (35 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 (4 uses), _lastUpdated (4 uses), category (2 uses), date (2 uses), event (2 uses), facility (2 uses), format (2 uses), identifier (4 uses), patient (6 uses), period (2 uses), related (2 uses), security-label (2 uses), setting (2 uses), status (2 uses), code (2 uses), date (2 uses), status (2 uses) hl7.terminology.r4#6.5.0: DoseAndRateType (3 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Comparison with version 4.2.2
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 = 0, broken links = 0, pinned = n/a. Show Message Ids

n/a Show Validation Information

fsh-generated/resources/Bundle-FindDocumentReferences.json Show Validation Information (5)

0 0 : start
0 0: tx-op
0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing
0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=en-US, default-to-latest
0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate "[http://snomed.info/sct#264358009 ("General practice premises (environment)")]"
0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check "http://snomed.info/sct#264358009"
0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem "http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201" (content = complete)

0 0 : start
0 0: tx-op
0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing
0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=en-US, default-to-latest
0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate "[http://snomed.info/sct#264358009 ("General practice premises (environment)")]"
0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check "http://snomed.info/sct#264358009"
0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem "http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201" (content = complete)

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 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

• INFORMATION: Bundle/Bundle-FindDocumentReferences: Bundle.entry[0].resource.context.facilityType.coding[0].code: The code '264358009' is valid but is not active (0 uses)
• INFORMATION: Bundle/Bundle-FindDocumentReferences: Bundle.entry[0].resource/*DocumentReference/50383ae5-49e5-4dea-b0e6-660cb9e7b91f*/.context.facilityType.coding[0].code: The code '264358009' is valid but is not active (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 (4 uses)
• All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod (4 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) (1 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) (1 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) (1 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) (1 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) (1 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) (1 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) (1 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) (1 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) (1 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) (1 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) (1 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) (1 uses)
• WARNING: Parameters/ex-input-doc-bundle: Parameters.parameter[0].resource/*Bundle/ex-fhir-document-bundle*/.entry[4].resource/*Observation/null*/: Best Practice Recommendation: In general, all observations should have a performer (0 uses)
• WARNING: Parameters/ex-input-doc-bundle: Parameters.parameter[0].resource/*Bundle/ex-fhir-document-bundle*/.entry[4].resource/*Observation/null*/: Best Practice Recommendation: In general, all observations should have an effective[x] () (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) (1 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) (1 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) (1 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) (1 uses)
• WARNING: Bundle/ex-comprehensiveProvideDocumentBundleDocument: Bundle.entry[2].resource.entry[4].resource/*Observation/null*/: Best Practice Recommendation: In general, all observations should have a performer (0 uses)
• WARNING: Bundle/ex-comprehensiveProvideDocumentBundleDocument: Bundle.entry[2].resource.entry[4].resource/*Observation/null*/: Best Practice Recommendation: In general, all observations should have an effective[x] () (0 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)
• WARNING: Bundle/ex-comprehensiveProvideDocumentBundleDocument: Bundle.entry[2].resource.entry[4].resource: Best Practice Recommendation: In general, all observations should have an effective[x] () (1 uses)
• WARNING: Bundle/ex-comprehensiveProvideDocumentBundleDocument: Bundle.entry[2].resource/*Bundle/father*/.entry[4].resource: Best Practice Recommendation: In general, all observations should have a performer (0 uses)
• WARNING: Bundle/ex-comprehensiveProvideDocumentBundleDocument: Bundle.entry[2].resource/*Bundle/father*/.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/*Observation/null*/: Best Practice Recommendation: In general, all observations should have a performer (0 uses)
• WARNING: Bundle/ex-fhir-document-bundle: Bundle.entry[4].resource/*Observation/null*/: 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 (1 uses)
• WARNING: Bundle/ex-fhir-document-bundle: Bundle.entry[4].resource: Best Practice Recommendation: In general, all observations should have an effective[x] () (1 uses)

these are all examples that are good enough

• Type_Specific_Checks_DT_URL_Resolve (27 uses)

we don't need to pin the version of these

• There are multiple different potential matches for the url 'http://hl7.org/fhir/ValueSet/object-lifecycle-events'.% (0 uses)
• There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActCode'.% (0 uses)
• There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-PurposeOfUse'.% (0 uses)

yes we know we are using non normative resources and valuesets

• MSG_DRAFT (25 uses)

Errors sorted by type

INACTIVE_CONCEPT_FOUND