Validation Results for CMSFHIRQMD

Generated Fri Aug 07 20:00:23 UTC 2026, FHIR version 4.0.1 for cms.fhir.qmd#0.8.0-cibuild (canonical = http://ecqi.healthit.gov/fhir/qmd (history)). See Full QA Report & IP

Quality Checks

Publisher Version:

IG Publisher Version: v2.3.1

Publication Code:

n/a . PackageId = cms.fhir.qmd, Canonical = http://ecqi.healthit.gov/fhir/qmd

Realm Check for n/a:

n/a

Language Info:

This IG has no language information

Publication Request:

This IG has never been published
No publication request found

Supressed Messages:

2 Suppressed Issues

Dependency Checks:

Package	Version	FHIR	Canonical	Web Base	Comment
cms.fhir.qmd	0.8.0-cibuild	R4	http://ecqi.healthit.gov/fhir/qmd
hl7.terminology.r4	7.3.0 M	R4	http://terminology.hl7.org	http://terminology.hl7.org/7.3.0
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 7.3.0
hl7.fhir.uv.extensions.r4	5.2.0 O	R4	http://hl7.org/fhir/extensions	http://hl7.org/fhir/extensions/5.2.0	Latest Release is 5.3.0
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.cqm	1.0.0 M	R4	http://hl7.org/fhir/uv/cqm	http://hl7.org/fhir/uv/cqm/STU1
hl7.terminology.r4	6.5.0 O	R4	http://terminology.hl7.org	http://terminology.hl7.org/6.5.0	Latest Release is 7.3.0
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
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.crmi	1.0.0 O	R4	http://hl7.org/fhir/uv/crmi	http://hl7.org/fhir/uv/crmi/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	Latest Release is 7.3.0
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.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.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	(as above). Latest Release is 7.3.0
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
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: cqf.fhir.template#0.7.1 -> fhir.base.template#0.8.1

Related IGs:

n/a

Dependent IGs:

Global Profiles:

(none declared)

Terminology Server(s):

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 (15 uses), Measure (6 uses), CommonLanguages (3 uses), Organization (6 uses), Group (3 uses), SubjectType (2 uses), DefinitionTopic (2 uses), MeasureScoring (2 uses), CompositeMeasureScoring (2 uses), MeasureType (2 uses), MeasureImprovementNotation (3 uses), MeasurePopulationType (4 uses), MeasureDataUsage (2 uses), MeasureReport (2 uses), MeasureReportStatus (1 uses), MeasureReportType (1 uses), Practitioner (2 uses), PractitionerRole (2 uses), Location (2 uses), Device (1 uses), RelatedPerson (1 uses), List (2 uses)

Modifier Extensions:

(none)

Previous Version Comparison:

Unable to compare with previous version: Unable to find version history at http://ecqi.healthit.gov/fhir/qmd (Problem #1 with package-list.json at http://ecqi.healthit.gov/fhir/qmd: Not Found)

IPA Comparison:

n/a

IPS Comparison:

n/a

Validation Flags:

On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings

Summary:

errors = 9, warn = 15, info = 8, broken links = 2, pinned = n/a.

Filename	Errors	Warnings	Hints
Build Errors	4	6	0
/scratch/repo/input/profiles/StructureDefinition-cms-publishable-measure	0	1	2
/scratch/repo/input/profiles/StructureDefinition-cms-scoring	2	1	1
/scratch/repo/input/profiles/StructureDefinition-cms-type	2	1	1
/scratch/repo/input/profiles/StructureDefinition-cmstestcase	1	4	1
/scratch/repo/input/profiles/StructureDefinition-madie-measure	0	1	1
/scratch/repo/input/vocabulary/ValueSet-cms-measure-scoring	2	1	1

n/a Show Validation Information

ImplementationGuide.definition.parameter[19].value

error

Supressed messages file has errors with no reason (#1)

ImplementationGuide.definition.parameter[19].value

error

Supressed messages file has errors with no reason (Test)

warning

Unable to find ImplementationGuide.definition.resource.description for the resource StructureDefinition/cms-test-case. Descriptions are strongly encouraged if they cannot be inferred from the resource to allow proper population of the artifact list.

output/pattern_encounters.html

warning

Illegal HTML: illegal html element: Concept ( overload of the [in(ValueSet)](https://cql.hl7.org/09-b-cqlreference.html#in-valueset) operator in CQL. However, when attempting to use a direct-reference code, there is no overload of the [Equivalent (~)](https://cql.hl7.org/09-b-cqlreference.html#equivalent) operator to support the comparison.)

pattern_observations.html#/html/body/div/div/div/div/div/p/a at Line 365, column 127

error

The link '#imaging-procedures' for "Imaging Procedures" cannot be resolved (valid targets: [markdown-toc-simple-observations, publish-box, segment-post-footer, family-logo, laboratory-result, markdown-toc-pregnancy-intent, markdown-toc-smoking-status, observations-non-patient-new, top, markdown-toc-observations-cancelled-not-done-no-longer-recommended, observations, stripe, segment-footer, markdown-toc-laboratory-result, vital-signs, segment-content, smoking-status, markdown-toc-pregnancy-status, surveys-and-assessments, segment-header, pregnancy-intent, markdown-toc-clinical-result, bottom, pregnancy-status, markdown-toc-surveys-and-assessments, markdown-toc-observations, simple-observations, family-nav, ig-status, markdown-toc, clinical-result, observations-cancelled-not-done-no-longer-recommended, markdown-toc-vital-signs, segment-navbar, segment-breadcrumb, markdown-toc-observations-non-patient-new]) HTML_LINK_CHECK_FAILED

pattern_procedures.html#/html/body/div/div/div/div/div/ul/li/a at Line 278, column 8

error

The link '#clinical-result' for "ObservationClinicalResult" cannot be resolved (valid targets: [segment-header, publish-box, bottom, procedure-not-ordered, segment-post-footer, imaging-procedures, procedure-ordered, family-logo, procedure-not-done, family-nav, ig-status, top, procedure-performed, procedures, stripe, segment-footer, segment-navbar, segment-content, segment-breadcrumb]) HTML_LINK_CHECK_FAILED

1

warning

The HTML fragment 'ip-statements.xhtml' is not included anywhere in the produced implementation guide

2

warning

An HTML fragment from the set [cross-version-analysis.xhtml, cross-version-analysis-inline.xhtml] is not included anywhere in the produced implementation guide

3

warning

An HTML fragment from the set [dependency-table.xhtml, dependency-table-short.xhtml, dependency-table-nontech.xhtml] is not included anywhere in the produced implementation guide

4

warning

The HTML fragment 'globals-table.xhtml' is not included anywhere in the produced implementation guide

input/profiles/StructureDefinition-cms-publishable-measure.json Show Validation Information (1)

Path

Severity

Message

Validating

StructureDefinition.snapshot.element[4].binding.extension[0] (l1/c23379)

information

The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.3.0 is deprecated with the note: 'Use additionalBinding extension or element instead' MSG_DEPENDS_ON_DEPRECATED_NOTE

StructureDefinition

Resource

information

The resource StructureDefinition/cms-publishable-measure could usefully have an OID assigned (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root)

--

StructureDefinition.where(url = 'http://ecqi.healthit.gov/fhir/qmd/StructureDefinition/cms-publishable-measure')

warning

The Implementation Guide contains no examples for this profile

--

input/profiles/StructureDefinition-cms-scoring.json Show Validation Information (1)

Path

Severity

Message

Validating

StructureDefinition.where(url = 'http://ecqi.healthit.gov/fhir/uv/cqm/StructureDefinition/cms-scoring')

error

Conformance resource /scratch/repo/input/profiles/StructureDefinition-cms-scoring.json - the canonical URL (http://ecqi.healthit.gov/fhir/qmd/StructureDefinition/cms-scoring) does not match the URL (http://ecqi.healthit.gov/fhir/uv/cqm/StructureDefinition/cms-scoring). Use the special-url parameter if you really mean for it not to match RESOURCE_CANONICAL_MISMATCH

--

Resource

information

The resource StructureDefinition/cms-scoring could usefully have an OID assigned (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root)

--

StructureDefinition.where(url = 'http://ecqi.healthit.gov/fhir/uv/cqm/StructureDefinition/cms-scoring')

warning

The Implementation Guide contains no examples for this extension

--

input/profiles/StructureDefinition-cms-scoring

error

URL Mismatch http://ecqi.healthit.gov/fhir/qmd/StructureDefinition/cms-scoring vs http://ecqi.healthit.gov/fhir/uv/cqm/StructureDefinition/cms-scoring

--

input/profiles/StructureDefinition-cms-type.json Show Validation Information (1)

Path

Severity

Message

Validating

StructureDefinition.where(url = 'http://ecqi.healthit.gov/fhir/uv/cqm/StructureDefinition/cms-type')

error

Conformance resource /scratch/repo/input/profiles/StructureDefinition-cms-type.json - the canonical URL (http://ecqi.healthit.gov/fhir/qmd/StructureDefinition/cms-type) does not match the URL (http://ecqi.healthit.gov/fhir/uv/cqm/StructureDefinition/cms-type). Use the special-url parameter if you really mean for it not to match RESOURCE_CANONICAL_MISMATCH

--

Resource

information

The resource StructureDefinition/cms-type could usefully have an OID assigned (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root)

--

StructureDefinition.where(url = 'http://ecqi.healthit.gov/fhir/uv/cqm/StructureDefinition/cms-type')

warning

The Implementation Guide contains no examples for this extension

--

input/profiles/StructureDefinition-cms-type

error

URL Mismatch http://ecqi.healthit.gov/fhir/qmd/StructureDefinition/cms-type vs http://ecqi.healthit.gov/fhir/uv/cqm/StructureDefinition/cms-type

--

input/profiles/StructureDefinition-cmstestcase.json Show Validation Information (1)

Path

Severity

Message

Validating

CMSTestCase.MeasureReport.identifier

error

Illegal constraint [must-support = false] when [must-support = true] in the base profile

--

StructureDefinition.snapshot.element[9].type[0].profile[0] (l1/c22568)

warning

There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/cqf-inputParameters'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0', found versions: 1.0.0 (from hl7.fhir.uv.extensions.r4#1.0.0), 5.1.0 (from hl7.fhir.uv.extensions.r4#5.1.0), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (from hl7.fhir.uv.extensions.r4#5.3.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/cqf-inputParameters' to 'http://hl7.org/fhir/StructureDefinition/cqf-inputParameters|5.3.0' TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS

StructureDefinition

StructureDefinition.snapshot.element[31].type[0].profile[0] (l1/c46101)

warning

There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0', found versions: 5.1.0 (from hl7.fhir.uv.extensions.r4#5.1.0), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (from hl7.fhir.uv.extensions.r4#5.3.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity' to 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity|5.3.0' TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS

StructureDefinition

StructureDefinition.snapshot.element[56].type[0].profile[0] (l1/c75852)

warning

There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0', found versions: 5.1.0 (from hl7.fhir.uv.extensions.r4#5.1.0), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (from hl7.fhir.uv.extensions.r4#5.3.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity' to 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity|5.3.0' TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS

StructureDefinition

Resource

information

The resource StructureDefinition/cms-test-case could usefully have an OID assigned (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root)

--

StructureDefinition.where(url = 'http://ecqi.healthit.gov/fhir/qmd/StructureDefinition/cms-test-case')

warning

The Implementation Guide contains no examples for this profile

--

input/profiles/StructureDefinition-madie-measure.json Show Validation Information (1)

Path

Severity

Message

Validating

Resource

information

The resource StructureDefinition/madie-measure could usefully have an OID assigned (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root)

--

StructureDefinition.where(url = 'http://ecqi.healthit.gov/fhir/qmd/StructureDefinition/madie-measure')

warning

The Implementation Guide contains no examples for this profile

--

input/vocabulary/ValueSet-cms-measure-scoring.json Show Validation Information (1)

Path

Severity

Message

Validating

ValueSet.where(url = 'http://ecqi.healthit.gov/fhir/uv/cqm/ValueSet/cms-measure-scoring')

error

Conformance resource /scratch/repo/input/vocabulary/ValueSet-cms-measure-scoring.json - the canonical URL (http://ecqi.healthit.gov/fhir/qmd/ValueSet/cms-measure-scoring) does not match the URL (http://ecqi.healthit.gov/fhir/uv/cqm/ValueSet/cms-measure-scoring). Use the special-url parameter if you really mean for it not to match RESOURCE_CANONICAL_MISMATCH

--

ValueSet.compose.include[0]

information

Pinned the version of http://terminology.hl7.org/CodeSystem/measure-scoring to 4.0.0 from choices of 3.0.0 (hl7.terminology#5.5.0), 4.0.0 (hl7.terminology.r4#6.5.0) PIN_VERSION

--

Resource

warning

The resource ValueSet/cms-measure-scoring should have an OID assigned to cater for possible use with OID based terminology systems e.g. CDA usage (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root)

--

input/vocabulary/ValueSet-cms-measure-scoring

error

URL Mismatch http://ecqi.healthit.gov/fhir/qmd/ValueSet/cms-measure-scoring vs http://ecqi.healthit.gov/fhir/uv/cqm/ValueSet/cms-measure-scoring

--

Suppressed Messages (Warnings, hints, broken links)

?pub-msg-1?

#1 (0 uses)
Test (0 uses)

Errors sorted by type

MSG_DEPENDS_ON_DEPRECATED_NOTE

input/profiles/StructureDefinition-cms-publishable-measure.json

The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.3.0 is deprecated with the note: 'Use additionalBinding extension or element instead'

StructureDefinition

PIN_VERSION

input/vocabulary/ValueSet-cms-measure-scoring.json

Pinned the version of http://terminology.hl7.org/CodeSystem/measure-scoring to 4.0.0 from choices of 3.0.0 (hl7.terminology#5.5.0), 4.0.0 (hl7.terminology.r4#6.5.0)

--

RESOURCE_CANONICAL_MISMATCH

input/profiles/StructureDefinition-cms-scoring.json

Conformance resource /scratch/repo/input/profiles/StructureDefinition-cms-scoring.json - the canonical URL (http://ecqi.healthit.gov/fhir/qmd/StructureDefinition/cms-scoring) does not match the URL (http://ecqi.healthit.gov/fhir/uv/cqm/StructureDefinition/cms-scoring). Use the special-url parameter if you really mean for it not to match

--

input/profiles/StructureDefinition-cms-type.json

Conformance resource /scratch/repo/input/profiles/StructureDefinition-cms-type.json - the canonical URL (http://ecqi.healthit.gov/fhir/qmd/StructureDefinition/cms-type) does not match the URL (http://ecqi.healthit.gov/fhir/uv/cqm/StructureDefinition/cms-type). Use the special-url parameter if you really mean for it not to match

--

input/vocabulary/ValueSet-cms-measure-scoring.json

Conformance resource /scratch/repo/input/vocabulary/ValueSet-cms-measure-scoring.json - the canonical URL (http://ecqi.healthit.gov/fhir/qmd/ValueSet/cms-measure-scoring) does not match the URL (http://ecqi.healthit.gov/fhir/uv/cqm/ValueSet/cms-measure-scoring). Use the special-url parameter if you really mean for it not to match

--

TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS

input/profiles/StructureDefinition-cmstestcase.json

There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/cqf-inputParameters'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0', found versions: 1.0.0 (from hl7.fhir.uv.extensions.r4#1.0.0), 5.1.0 (from hl7.fhir.uv.extensions.r4#5.1.0), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (from hl7.fhir.uv.extensions.r4#5.3.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/cqf-inputParameters' to 'http://hl7.org/fhir/StructureDefinition/cqf-inputParameters|5.3.0'

StructureDefinition

input/profiles/StructureDefinition-cmstestcase.json

There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0', found versions: 5.1.0 (from hl7.fhir.uv.extensions.r4#5.1.0), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (from hl7.fhir.uv.extensions.r4#5.3.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity' to 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity|5.3.0'

StructureDefinition

input/profiles/StructureDefinition-cmstestcase.json

There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0', found versions: 5.1.0 (from hl7.fhir.uv.extensions.r4#5.1.0), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (from hl7.fhir.uv.extensions.r4#5.3.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity' to 'http://hl7.org/fhir/StructureDefinition/measurereport-countQuantity|5.3.0'

StructureDefinition