Validation Results for VAMHVFHIRPHR

Generated Sun Aug 18 14:40:56 UTC 2024, FHIR version 4.0.1 for va.mhv.fhir.phr#0.3.9-current (canonical = https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping (history)). See Full QA Report

Quality Checks
Publisher Version:	IG Publisher Version: v1.6.20
Publication Code:	n/a . PackageId = va.mhv.fhir.phr, Canonical = https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping
Realm Check for n/a:	n/a
Publication Request:	Error fetching package-list from https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping: Not Found No publication request found
Supressed Messages:	203 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment va.mhv.fhir.phr 0.3.9-current R4 https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping hl7.terminology.r4 6.0.2 M R4 http://terminology.hl7.org http://terminology.hl7.org/6.0.2 hl7.fhir.us.core 5.0.1 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU5.0.1 Matched to latest patch release (5.0.x->5.0.1). Latest Release is 7.0.0 hl7.terminology.r4 3.1.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/3.1.0 Latest Release is 6.0.2 hl7.fhir.uv.bulkdata 2.0.0 M R4 http://hl7.org/fhir/uv/bulkdata http://hl7.org/fhir/uv/bulkdata/STU2 hl7.fhir.uv.smart-app-launch 2.0.0 O R4 http://hl7.org/fhir/smart-app-launch http://hl7.org/fhir/smart-app-launch/STU2 Latest Release is 2.2.0 us.nlm.vsac 0.7.0 O R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac Latest Release is 0.19.0 hl7.fhir.uv.sdc 3.0.0 M R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 hl7.fhir.r4.examples 4.0.1 O R4 http://hl7.org/fhir http://hl7.org/fhir/R4 Latest Release is 5.0.0 hl7.fhir.uv.extensions 5.2.0-ballot I R5 http://hl7.org/fhir/extensions https://build.fhir.org/ig/HL7/fhir-extensions/ FHIR Version Mismatch hl7.terminology.r5 6.0.2 M R5 http://terminology.hl7.org http://terminology.hl7.org/6.0.2 FHIR Version Mismatch Templates: vha.ig.template#0.1 -> fhir.base.template#current. Tools: 0.1.0
Dependent IGs:	no references
Global Profiles:	(none declared)
Terminology Server(s):	http://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 (72 uses), Specimen (12 uses), CommonLanguages (33 uses), Organization (64 uses), SpecimenStatus (2 uses), Group (5 uses), Device (16 uses), Substance (6 uses), Location (24 uses), ServiceRequest (16 uses), Practitioner (33 uses), PractitionerRole (22 uses), FHIRSpecimenCollectionMethod (2 uses), SNOMEDCTBodyStructures (12 uses), SpecimenProcessingProcedure (2 uses), SpecimenContainerType (2 uses), CarePlan (10 uses), ImmunizationRecommendation (8 uses), MedicationRequest (10 uses), NutritionOrder (8 uses), DiagnosticReportStatus (5 uses), DiagnosticServiceSectionCodes (12 uses), Encounter (16 uses), CareTeam (13 uses), ImagingStudy (19 uses), Media (12 uses), SNOMEDCTClinicalFindings (6 uses), AllergyIntolerance (2 uses), AllergyIntoleranceClinicalStatusCodes (1 uses), AllergyIntoleranceVerificationStatusCodes (1 uses), AllergyIntoleranceType (1 uses), AllergyIntoleranceCriticality (1 uses), RelatedPerson (16 uses), SubstanceCode (1 uses), AllergyIntoleranceSeverity (1 uses), SNOMEDCTRouteCodes (1 uses), ActivityDefinition (2 uses), PlanDefinition (2 uses), RequestStatus (2 uses), RequestIntent (2 uses), ServiceRequestCategoryCodes (2 uses), RequestPriority (2 uses), ServiceRequestOrderDetailsCodes (2 uses), SNOMEDCTMedicationAsNeededReasonCodes (2 uses), ParticipantRoles (2 uses), ProcedureReasonCodes (2 uses), Condition (8 uses), DiagnosticReport (5 uses), DocumentReference (12 uses), Coverage (2 uses), ClaimResponse (2 uses), Provenance (2 uses), MedicationAdministration (7 uses), MedicationDispense (7 uses), MedicationStatement (7 uses), Procedure (7 uses), Immunization (8 uses), ObservationCategoryCodes (13 uses), LOINCCodes (8 uses), ObservationMethods (7 uses), DeviceMetric (7 uses), ObservationReferenceRangeMeaningCodes (7 uses), ObservationReferenceRangeAppliesToCodes (7 uses), QuestionnaireResponse (14 uses), MolecularSequence (14 uses), ConditionCategoryCodes (2 uses), Condition/DiagnosisSeverity (1 uses), ConditionStage (1 uses), ClinicalImpression (1 uses), ConditionStageType (1 uses), ManifestationAndSymptomCodes (1 uses), LOINCDiagnosticReportCodes (1 uses), DocumentReferenceStatus (3 uses), CompositionStatus (3 uses), DocumentRelationshipType (3 uses), ImmunizationStatusCodes (1 uses), ImmunizationStatusReasonCodes (1 uses), regex (2 uses), ImmunizationOriginCodes (1 uses), CodesForImmunizationSiteOfAdministration (1 uses), ImmunizationRouteCodes (1 uses), ImmunizationFunctionCodes (3 uses), ImmunizationReasonCodes (1 uses), ImmunizationSubpotentReason (1 uses), ImmunizationProgramEligibility (1 uses), ImmunizationFundingSource (1 uses), ImmunizationTargetDiseaseCodes (1 uses), DeviceRequest (6 uses), LocationStatus (1 uses), LocationMode (1 uses), LocationType (1 uses), Endpoint (2 uses), OrganizationType (1 uses), ContactEntityType (1 uses), observation-vitalsigns (25 uses), VitalSignsUnits (10 uses), AllergyIntoleranceCategory (1 uses) hl7.fhir.uv.extensions#5.2.0-ballot: AlternateReference (219 uses), SDStatusDerivation (79 uses), TypeMustSupport (108 uses) hl7.fhir.uv.tools#0.2.0: ResourceSortExt (443 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Unable to compare with previous version: Unable to find version history at https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping (Problem #1 with package-list.json at https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping: Not Found)
IPA Comparison:	n/a
IPS Comparison:	n/a
Summary:	errors = 10, warn = 0, info = 1, broken links = 0

n/a Show Validation Information

fsh-generated/resources/DiagnosticReport-0994d06f-7817-4c02-acf4-3564bb82636a.json Show Validation Information (6)

fsh-generated/resources/DiagnosticReport-28fbd313-2087-46c9-9581-66cf1f70c973.json Show Validation Information (9)

fsh-generated/resources/DiagnosticReport-3d6f5b1b-7a21-4784-b1cf-d75e04ed5d98.json Show Validation Information (6)

fsh-generated/resources/DiagnosticReport-4cbed92e-233e-4783-8d4d-d0fc578f3e68.json Show Validation Information (9)

fsh-generated/resources/DiagnosticReport-845ebc9d-fab1-4646-9198-4fc128aa79a6.json Show Validation Information (9)

fsh-generated/resources/DiagnosticReport-a66187be-5cf2-4911-9b62-cc1e7c811711.json Show Validation Information (6)

fsh-generated/resources/DiagnosticReport-b47e0e4a-7bbd-4d6b-8ca9-a5ce31489429.json Show Validation Information (9)

fsh-generated/resources/DiagnosticReport-db557446-899f-401e-aa5f-7958a210b115.json Show Validation Information (9)

fsh-generated/resources/DiagnosticReport-e597c961-9cd3-4930-b3af-234493d497e7.json Show Validation Information (9)

fsh-generated/resources/DiagnosticReport-f66cfaf6-b014-469b-9499-16ccae420d1e.json Show Validation Information (9)

Suppressed Messages (Warnings, hints, broken links)

71020 - Deleted -- https://www.aapc.com/codes/cpt_code/deleted_cpt_code/71020

• Code '71020' not found in CPT (6 uses)
• Unknown code '71020' in the CodeSystem 'http://www.ama-assn.org/go/cpt' version '2023' (6 uses)

78465 - Deleted -- https://www.aapc.com/codes/cpt_code/deleted_cpt_code/78465

• Code '78465' not found in CPT (1 uses)
• Unknown code '78465' in the CodeSystem 'http://www.ama-assn.org/go/cpt' version '2023' (1 uses)

78478 - Deleted -- https://www.aapc.com/codes/cpt_code/deleted_cpt_code/78478

• Code '78478' not found in CPT (1 uses)
• Unknown code '78478' in the CodeSystem 'http://www.ama-assn.org/go/cpt' version '2023' (1 uses)

78480 - Deleted -- https://www.aapc.com/codes/cpt_code/deleted_cpt_code/78480

• Code '78480' not found in CPT (1 uses)
• Unknown code '78480' in the CodeSystem 'http://www.ama-assn.org/go/cpt' version '2023' (1 uses)

78990 - Deleted -- https://www.aapc.com/codes/cpt_code/deleted_cpt_code/78990

• Code '78990' not found in CPT (1 uses)
• Unknown code '78990' in the CodeSystem 'http://www.ama-assn.org/go/cpt' version '2023' (1 uses)

Chem-Hem is unique to VA and therefore no good code available

• DiagnosticReport.code: No code provided, and a code should be provided from the value set 'US Core Diagnostic Report Laboratory Codes' (http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes|5.0.1) (0 uses)
• WARNING: DiagnosticReport/ex-MHV-chReport-1103030001: DiagnosticReport.code: No code provided, and a code should be provided from the value set 'US Core Diagnostic Report Laboratory Codes' (http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes|5.0.1) (0 uses)
• WARNING: DiagnosticReport/ex-MHV-chReport-1103030002: DiagnosticReport.code: No code provided, and a code should be provided from the value set 'US Core Diagnostic Report Laboratory Codes' (http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes|5.0.1) (0 uses)
• WARNING: DiagnosticReport/ex-MHV-chReport-1190370002: DiagnosticReport.code: No code provided, and a code should be provided from the value set 'US Core Diagnostic Report Laboratory Codes' (http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes|5.0.1) (0 uses)
• WARNING: DiagnosticReport/ex-MHV-chReport-1190530001: DiagnosticReport.code: No code provided, and a code should be provided from the value set 'US Core Diagnostic Report Laboratory Codes' (http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes|5.0.1) (0 uses)
• WARNING: DiagnosticReport/ex-MHV-chReport-1190530002: DiagnosticReport.code: No code provided, and a code should be provided from the value set 'US Core Diagnostic Report Laboratory Codes' (http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes|5.0.1) (0 uses)
• WARNING: DiagnosticReport/ex-MHV-chReport-1190740001: DiagnosticReport.code: No code provided, and a code should be provided from the value set 'US Core Diagnostic Report Laboratory Codes' (http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes|5.0.1) (0 uses)
• WARNING: DiagnosticReport/ex-MHV-chReport-1: DiagnosticReport.code: No code provided, and a code should be provided from the value set 'US Core Diagnostic Report Laboratory Codes' (http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes|5.0.1) (0 uses)

ChemHem does not have a code

• Terminology_TX_Code_ValueSet_Ext (0 uses)

ChemHem has extra category codes

• This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (10 uses)

ChemHem seems to use this version of snomed

• A definition for CodeSystem 'http://snomed.info' version '20170901' could not be found, so the code cannot be validated% (1 uses)
• A definition for CodeSystem 'http://snomed.info' version '20180301' could not be found, so the code cannot be validated% (1 uses)
• A definition for CodeSystem 'http://snomed.info' version '20180901' could not be found, so the code cannot be validated% (1 uses)
• A definition for CodeSystem 'http://snomed.info' version '20200731' could not be found, so the code cannot be validated% (1 uses)
• A definition for CodeSystem 'http://snomed.info' version '20200901' could not be found, so the code cannot be validated% (1 uses)

DiagnosticReport profile is for API use. No data will be marked with this profile

• WARNING: StructureDefinition.where(url = 'https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.diagnosticReport'): The Implementation Guide contains no examples for this profile (1 uses)

DocumentReference profile is for API use. No data will be marked with this profile

• WARNING: StructureDefinition.where(url = 'https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.documentReference'): The Implementation Guide contains no examples for this profile (1 uses)

Examples for Condition are using historic ICD9 codes

• WARNING: Condition/ex-MHV-condition-deleted-487: Condition.code.coding[0].code: Unknown Code '401.9' in the system 'http://hl7.org/fhir/sid/icd-9-cm' version '2015' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)

Immunization reaction Observation is a contained, so the IG validator doesn't see it

• INFORMATION: StructureDefinition.where(url = 'https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.immunizationReaction'): The Implementation Guide contains no explicitly linked examples for this profile (1 uses)

Immunizations include contained Observation, but we are doing contained Practitioners, so can't include contained Practitioner in a contained Observation.

• WARNING: Immunization/ex-MHV-immunization-2: Immunization.contained[1]/*Observation/in-reaction-2*/: Best Practice Recommendation: In general, all observations should have a performer (1 uses)

Medication workflow is a work in progress, so these are okay

• WARNING: StructureDefinition.where(url = 'https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.medicationDispense'): The Implementation Guide contains no examples for this profile (0 uses)
• WARNING: StructureDefinition.where(url = 'https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.medicationRequest'): The Implementation Guide contains no examples for this profile (0 uses)
• WARNING: StructureDefinition.where(url = 'https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.medicationTracking'): The Implementation Guide contains no examples for this profile (0 uses)

MedicationDispense throws this INFO warning from FHIR core, [ignore chat confirmation](https://chat.fhir.org/#narrow/stream/179252-IG-creation/topic/MedicationDispense.20html.20INFO.20warning).

• INFORMATION: StructureDefinition/VA.MHV.PHR.medicationDispense: StructureDefinition.snapshot.element[28].mapping[0].map: 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 (0 uses)

Observation interpretation code translation has no source

• WARNING: ConceptMap/VF-ChemistryResult-valueInterpretation: ConceptMap.group[0]: No Source Code System, so the source codes cannot be checked (1 uses)

Organization has an odd info coming from us-core

• The repeating element has a pattern. The pattern will apply to all the repeats (this has not been clear to all users) (4 uses)

Organization sometimes has an identifier type, so put that into text

• No code provided, and a code should be provided from the value set 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type|4.0.1) (0 uses)

Organization, Practitioner, and Location are now contained, so there is no examples formally recognized by validator

• The Implementation Guide contains no explicitly linked examples for this profile (4 uses)

Patient example with ReligiousAffiliation is only given to me in TEXT, I can't guess at a code

• No code provided, and a code should be provided from the value set 'MaritalStatus' (http://hl7.org/fhir/ValueSet/marital-status|4.0.1) (0 uses)
• No code provided, and a code should be provided from the value set 'ReligiousAffiliation' (http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation|2.0.0) (0 uses)

Patient-0 is fully populated, therefore uses extensions beyond us-core

• INFORMATION: Patient/ex-VIA-patient-0: Patient.extension[0]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|5.0.1 (1 uses)
• INFORMATION: Patient/ex-VIA-patient-0: Patient.extension[2]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|5.0.1 (1 uses)
• WARNING: Patient/ex-VIA-patient-0: Patient.extension[0].value.ofType(CodeableConcept): No code provided, and a code should be provided from the value set 'ReligiousAffiliation' (http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation|3.0.0) (0 uses)

Presumed good codes from ICD

• WARNING: Condition/0635f0d9-81ab-4a0b-af8d-f899d8e5220d: Condition.code.coding[0].code: Unknown Code '414.00' in the system 'http://hl7.org/fhir/sid/icd-9-cm' version '2015' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: Condition/2b2d8b23-439d-4d5c-967e-b080b2710dd9: Condition.code.coding[0].code: Unknown Code '799.9' in the system 'http://hl7.org/fhir/sid/icd-9-cm' version '2015' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: Condition/36a44c53-cb2a-45a3-a932-a295ac7d52c7: Condition.code.coding[0].code: Unknown Code '401.9' in the system 'http://hl7.org/fhir/sid/icd-9-cm' version '2015' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: Condition/397ef2d8-7516-4fdb-aef4-ae74b53dd202: Condition.code.coding[0].code: Unknown Code '300.00' in the system 'http://hl7.org/fhir/sid/icd-9-cm' version '2015' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: Condition/6ba7a74c-b635-4593-bcb7-735f009aaf88: Condition.code.coding[0].code: Unknown Code '424.90' in the system 'http://hl7.org/fhir/sid/icd-9-cm' version '2015' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: Condition/74976867-7782-4e26-90af-2e576be9bb44: Condition.code.coding[0].code: Unknown Code '365.9' in the system 'http://hl7.org/fhir/sid/icd-9-cm' version '2015' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: Condition/7e55cbc8-4864-462d-a730-98ca4cccd4a2: Condition.code.coding[0].code: Unknown Code '724.2' in the system 'http://hl7.org/fhir/sid/icd-9-cm' version '2015' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: Condition/7f88a60c-ffe5-4001-8286-c5eeccc069dd: Condition.code.coding[0].code: Unknown Code '333.99' in the system 'http://hl7.org/fhir/sid/icd-9-cm' version '2015' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: Condition/a7471138-f4ac-4226-9555-4999196c6136: Condition.code.coding[0].code: Unknown Code '600.00' in the system 'http://hl7.org/fhir/sid/icd-9-cm' version '2015' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: Condition/c02cc828-7fd0-40a7-a2fb-5b4609f825a7: Condition.code.coding[0].code: Unknown Code 'V79.8' in the system 'http://hl7.org/fhir/sid/icd-9-cm' version '2015' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• WARNING: Condition/ca55b358-f98a-4ba0-a3dc-0346cbeaf44d: Condition.code.coding[0].code: Unknown Code 'V79.1' in the system 'http://hl7.org/fhir/sid/icd-9-cm' version '2015' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)

Some immunizations don't have CVX

• WARNING: Immunization/ex-MHV-immunization-1: Immunization.vaccineCode: No code provided, and a code should be provided from the value set 'CVX Vaccines Administered Vaccine Set' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6|20210630) (0 uses)
• WARNING: Immunization/ex-MHV-immunization-3: Immunization.vaccineCode: No code provided, and a code should be provided from the value set 'CVX Vaccines Administered Vaccine Set' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6|20210630) (0 uses)
• WARNING: Immunization/ex-MHV-immunization-4: Immunization.vaccineCode: No code provided, and a code should be provided from the value set 'CVX Vaccines Administered Vaccine Set' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6|20210630) (0 uses)
• WARNING: Immunization/ex-MHV-immunization-deleted-1: Immunization.vaccineCode: No code provided, and a code should be provided from the value set 'CVX Vaccines Administered Vaccine Set' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6|20210630) (0 uses)

The CH tests, panel, and specimen are contained

• INFORMATION: StructureDefinition.where(url = 'https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chOrder'): The Implementation Guide contains no explicitly linked examples for this profile (1 uses)
• INFORMATION: StructureDefinition.where(url = 'https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chSpecimen'): The Implementation Guide contains no explicitly linked examples for this profile (1 uses)
• INFORMATION: StructureDefinition.where(url = 'https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chTest'): The Implementation Guide contains no explicitly linked examples for this profile (1 uses)

The Lab test and specimen are contained

• INFORMATION: StructureDefinition.where(url = 'https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.LabSpecimen'): The Implementation Guide contains no explicitly linked examples for this profile (1 uses)
• INFORMATION: StructureDefinition.where(url = 'https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.labTest'): The Implementation Guide contains no explicitly linked examples for this profile (1 uses)

There is no source for these codes from Vista for status

• WARNING: ConceptMap/VF-ChemistryResult-ObservationStatus: ConceptMap.group[0]: No Source Code System, so the source codes cannot be checked (1 uses)

These examples did not come with CodeSystem

• WARNING: DiagnosticReport/ex-MHV-labReport-1: DiagnosticReport.contained[0]/*Observation/ex-MHV-labTest-1*/.code: No code provided, and a code should be provided from the value set 'LOINC Codes' (http://hl7.org/fhir/ValueSet/observation-codes|4.0.1) (0 uses)
• WARNING: DiagnosticReport/ex-MHV-labReport-2: DiagnosticReport.contained[0]/*Observation/ex-MHV-labTest-2*/.code: No code provided, and a code should be provided from the value set 'LOINC Codes' (http://hl7.org/fhir/ValueSet/observation-codes|4.0.1) (0 uses)
• WARNING: DiagnosticReport/ex-MHV-labReport-2: DiagnosticReport.contained[1]/*Observation/ex-MHV-labTest-3*/.code: No code provided, and a code should be provided from the value set 'LOINC Codes' (http://hl7.org/fhir/ValueSet/observation-codes|4.0.1) (0 uses)
• WARNING: DiagnosticReport/ex-MHV-labReport-2: DiagnosticReport.contained[2]/*Observation/ex-MHV-labTest-4*/.code: No code provided, and a code should be provided from the value set 'LOINC Codes' (http://hl7.org/fhir/ValueSet/observation-codes|4.0.1) (0 uses)
• WARNING: DiagnosticReport/ex-MHV-labReport-3: DiagnosticReport.contained[0]/*Observation/ex-MHV-labTest-5*/.code: No code provided, and a code should be provided from the value set 'LOINC Codes' (http://hl7.org/fhir/ValueSet/observation-codes|4.0.1) (0 uses)
• WARNING: DiagnosticReport/ex-MHV-labReport-3: DiagnosticReport.contained[1]/*Observation/ex-MHV-labTest-6*/.code: No code provided, and a code should be provided from the value set 'LOINC Codes' (http://hl7.org/fhir/ValueSet/observation-codes|4.0.1) (0 uses)
• WARNING: DiagnosticReport/ex-MHV-labReport-3: DiagnosticReport.contained[2]/*Observation/ex-MHV-labTest-7*/.code: No code provided, and a code should be provided from the value set 'LOINC Codes' (http://hl7.org/fhir/ValueSet/observation-codes|4.0.1) (0 uses)

US-Core Practitioner requires an identifier, and allows anything. But that doesn't match the NPI slice

• INFORMATION: DiagnosticReport/ex-MHV-imaging-0: DiagnosticReport.contained[1]/*Practitioner/ex-MHV-practitioner-image0*/.identifier[0]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|5.0.1 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/ex-MHV-labReport-1: DiagnosticReport.contained[3]/*Practitioner/ex-MHV-practitioner-mangas*/.identifier[0]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|5.0.1 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/ex-MHV-labReport-2: DiagnosticReport.contained[5]/*Practitioner/ex-MHV-practitioner-mangas*/.identifier[0]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|5.0.1 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/ex-MHV-labReport-3: DiagnosticReport.contained[5]/*Practitioner/ex-MHV-practitioner-mangas*/.identifier[0]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|5.0.1 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/ex-MHV-labReport-4: DiagnosticReport.contained[2]/*Practitioner/ex-MHV-practitioner-seetha*/.identifier[0]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|5.0.1 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/ex-MHV-labReport-6: DiagnosticReport.contained[2]/*Practitioner/ex-MHV-practitioner-seetha*/.identifier[0]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|5.0.1 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/ex-MHV-labReport-8: DiagnosticReport.contained[2]/*Practitioner/ex-MHV-practitioner-seetha*/.identifier[0]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|5.0.1 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)

VA codeSystem

• A definition for CodeSystem 'http://va.gov/terminology/vistaDefinedTerms/60' could not be found, so the code cannot be validated (0 uses)
• A definition for CodeSystem 'http://va.gov/terminology/vistaDefinedTerms/61' version '5.2' could not be found, so the code cannot be validated% (32 uses)
• A definition for CodeSystem 'http://va.gov/terminology/vistaDefinedTerms/64' could not be found, so the code cannot be validated (0 uses)
• A definition for CodeSystem 'http://va.gov/terminology/vistaDefinedTerms/95.3' version '2.14' could not be found, so the code cannot be validated% (5 uses)
• A definition for CodeSystem 'http://va.gov/terminology/vistaDefinedTerms/95.3' version '2.52' could not be found, so the code cannot be validated% (9 uses)
• A definition for CodeSystem 'http://va.gov/terminology/vistaDefinedTerms/95.3' version '2.61' could not be found, so the code cannot be validated% (3 uses)
• A definition for CodeSystem 'http://va.gov/terminology/vistaDefinedTerms/95.3' version '2.63' could not be found, so the code cannot be validated% (2 uses)
• A definition for CodeSystem 'http://va.gov/terminology/vistaDefinedTerms/95.3' version '2.64' could not be found, so the code cannot be validated% (9 uses)
• A definition for CodeSystem 'http://va.gov/terminology/vistaDefinedTerms/95.3' version '2.65' could not be found, so the code cannot be validated% (3 uses)
• A definition for CodeSystem 'http://va.gov/terminology/vistaDefinedTerms/95.3' version '2.68' could not be found, so the code cannot be validated% (8 uses)

Vital-Sign concepts are mapped from VUID

• A definition for CodeSystem 'urn:oid:2.16.840.1.113883.6.233' could not be found, so the code cannot be validated (36 uses)
• The Source Code System urn:oid:2.16.840.1.113883.6.233 is not fully defined and populated, and no sourceScope is specified, so the source code checking will not be performed (8 uses)

current IG publisher adds this extension to conceptMap and then complains that the extension exists

• EXTENSION_EXTM_CONTEXT_WRONG_XVER (199 uses)

either are fine

• Found multiple matching profiles for #approvedBy-0 among choices: http://hl7.org/fhir/StructureDefinition/Practitioner, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.practitioner (65 uses)
• Found multiple matching profiles for #location-0 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (66 uses)

example Chem-Hem has extra codes outside the slices defined by us-core

• INFORMATION: DiagnosticReport/9952: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9953: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9954: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9955: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9956: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9957: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9958: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9959: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9960: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9961: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9962: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9963: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9964: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9965: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9966: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9966: DiagnosticReport.category[3]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9967: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9968: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9969: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9969: DiagnosticReport.category[3]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9970: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9971: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9972: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9973: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9974: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9975: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9976: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9977: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9978: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9979: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9980: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9981: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9982: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9983: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9984: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9985: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9986: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9987: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/9988: DiagnosticReport.category[2]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)

example has to define the xml object it is testing

• INFORMATION: ImplementationGuide/va.mhv.fhir.phr: ImplementationGuide.definition.resource[53].description: 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 (0 uses)

image use CTP codes that are not found

• The provided code 'http://www.ama-assn.org/go/cpt#71111 ('RADIOLOGIC EXAMINATION, RIBS, BILATERAL; INCLUDING POSTEROANTERIOR CHEST, MINIMUM OF 4 VIEWS')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-type|5.0.1' (0 uses)
• The provided code 'http://www.ama-assn.org/go/cpt#71260 ('COMPUTED TOMOGRAPHY, THORAX, DIAGNOSTIC; WITH CONTRAST MATERIAL(S)')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-type|5.0.1' (0 uses)
• The provided code 'http://www.ama-assn.org/go/cpt#72100 ('RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; 2 OR 3 VIEWS')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-type|5.0.1' (0 uses)
• The provided code 'http://www.ama-assn.org/go/cpt#73630 ('RADIOLOGIC EXAMINATION, FOOT; COMPLETE, MINIMUM OF 3 VIEWS')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-type|5.0.1' (0 uses)
• The provided code 'http://www.ama-assn.org/go/cpt#74415 ('UROGRAPHY, INFUSION, DRIP TECHNIQUE AND/OR BOLUS TECHNIQUE; WITH NEPHROTOMOGRAPHY')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-type|5.0.1' (0 uses)
• The provided code 'http://www.ama-assn.org/go/cpt#93015 ('CARDIOVASCULAR STRESS TEST USING MAXIMAL OR SUBMAXIMAL TREADMILL OR BICYCLE EXERCISE, CONTINUOUS ELECTROCARDIOGRAPHIC MONITORING, AND/OR PHARMACOLOGICAL STRESS; WITH SUPERVISION, INTERPRETATION AND REPORT')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-type|5.0.1' (0 uses)

imaging report has some okay info

• This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.organization|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (34 uses)

info messages when using draft resources, like valueSets from THO

• MSG_DRAFT (19 uses)
• Reference to draft ValueSet http://hl7.org/fhir/ValueSet/servicerequest-category% (0 uses)

not all ends of the concept maps are available

• CONCEPTMAP_GROUP_TARGET_INCOMPLETE (2 uses)

old codes that the current CPT valueSet does not include as deprecated codes

• Terminology_TX_NoValid_1_CC (0 uses)

requirement for MHV defined Practitioner, Organization, Location -- but also allows others; so will get the following warning

• WARNING: DocumentReference/ex-MHV-ecg-0: DocumentReference.context.related[0]: Found multiple matching profiles for #ex-MHV-location-989 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: DocumentReference/ex-MHV-ecg-1: DocumentReference.context.related[0]: Found multiple matching profiles for #ex-MHV-location-989 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: DocumentReference/ex-MHV-ecg-2: DocumentReference.context.related[0]: Found multiple matching profiles for #ex-MHV-location-989 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: DocumentReference/ex-MHV-ecg-3: DocumentReference.context.related[0]: Found multiple matching profiles for #ex-MHV-location-989 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: DocumentReference/ex-MHV-ecg-4: DocumentReference.context.related[0]: Found multiple matching profiles for #ex-MHV-location-989 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: DocumentReference/ex-MHV-ecg-5: DocumentReference.context.related[0]: Found multiple matching profiles for #ex-MHV-location-989 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: DocumentReference/ex-MHV-note-1: DocumentReference.authenticator: Found multiple matching profiles for #ex-MHV-practitioner-36556 among choices: http://hl7.org/fhir/StructureDefinition/Practitioner, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.practitioner (1 uses)
• WARNING: DocumentReference/ex-MHV-note-1: DocumentReference.context.related[0]: Found multiple matching profiles for #ex-MHV-location-984 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: DocumentReference/ex-MHV-note-4: DocumentReference.authenticator: Found multiple matching profiles for #ex-MHV-practitioner-36556 among choices: http://hl7.org/fhir/StructureDefinition/Practitioner, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.practitioner (1 uses)
• WARNING: DocumentReference/ex-MHV-note-4: DocumentReference.context.related[0]: Found multiple matching profiles for #ex-MHV-location-552 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: DocumentReference/ex-MHV-note-5: DocumentReference.authenticator: Found multiple matching profiles for #ex-MHV-practitioner-36556 among choices: http://hl7.org/fhir/StructureDefinition/Practitioner, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.practitioner (1 uses)
• WARNING: DocumentReference/ex-MHV-note-5: DocumentReference.context.related[0]: Found multiple matching profiles for #ex-MHV-location-984 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: DocumentReference/ex-MHV-note-6: DocumentReference.authenticator: Found multiple matching profiles for #ex-MHV-practitioner-36556 among choices: http://hl7.org/fhir/StructureDefinition/Practitioner, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.practitioner (1 uses)
• WARNING: DocumentReference/ex-MHV-note-6: DocumentReference.context.related[0]: Found multiple matching profiles for #ex-MHV-location-984 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: DocumentReference/ex-MHV-note-7: DocumentReference.authenticator: Found multiple matching profiles for #ex-MHV-practitioner-2926 among choices: http://hl7.org/fhir/StructureDefinition/Practitioner, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.practitioner (1 uses)
• WARNING: DocumentReference/ex-MHV-note-7: DocumentReference.context.related[0]: Found multiple matching profiles for #location-648 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: DocumentReference/ex-MHV-note-8: DocumentReference.authenticator: Found multiple matching profiles for #ex-MHV-practitioner-2926 among choices: http://hl7.org/fhir/StructureDefinition/Practitioner, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.practitioner (1 uses)
• WARNING: DocumentReference/ex-MHV-note-8: DocumentReference.context.related[0]: Found multiple matching profiles for #location-648 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: DocumentReference/ex-MHV-note-deleted-1: DocumentReference.authenticator: Found multiple matching profiles for #ex-MHV-practitioner-36556 among choices: http://hl7.org/fhir/StructureDefinition/Practitioner, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.practitioner (1 uses)
• WARNING: DocumentReference/ex-MHV-note-deleted-1: DocumentReference.context.related[0]: Found multiple matching profiles for #ex-MHV-location-984 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: Immunization/27653: Immunization.performer[1].actor: Found multiple matching profiles for #Organization-0 among choices: http://hl7.org/fhir/StructureDefinition/Organization, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.organization (1 uses)
• WARNING: Immunization/27654: Immunization.performer[1].actor: Found multiple matching profiles for #Organization-0 among choices: http://hl7.org/fhir/StructureDefinition/Organization, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.organization (1 uses)
• WARNING: Immunization/27655: Immunization.performer[0].actor: Found multiple matching profiles for #ex-MHV-organization-552 among choices: http://hl7.org/fhir/StructureDefinition/Organization, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.organization (1 uses)
• WARNING: Immunization/27655: Immunization.vaccineCode: No code provided, and a code should be provided from the value set 'CVX Vaccines Administered Vaccine Set' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6|20210630) (0 uses)
• WARNING: Immunization/27656: Immunization.performer[0].actor: Found multiple matching profiles for #ex-MHV-organization-552 among choices: http://hl7.org/fhir/StructureDefinition/Organization, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.organization (1 uses)
• WARNING: Immunization/27656: Immunization.vaccineCode: No code provided, and a code should be provided from the value set 'CVX Vaccines Administered Vaccine Set' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6|20210630) (0 uses)
• WARNING: Immunization/27657: Immunization.performer[0].actor: Found multiple matching profiles for #ex-MHV-organization-552 among choices: http://hl7.org/fhir/StructureDefinition/Organization, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.organization (1 uses)
• WARNING: Immunization/27658: Immunization.performer[0].actor: Found multiple matching profiles for #ex-MHV-organization-552 among choices: http://hl7.org/fhir/StructureDefinition/Organization, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.organization (1 uses)
• WARNING: Immunization/27658: Immunization.vaccineCode: No code provided, and a code should be provided from the value set 'CVX Vaccines Administered Vaccine Set' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.6|20210630) (0 uses)
• WARNING: Immunization/28652: Immunization.location: Found multiple matching profiles for #in-location-2 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: Immunization/28652: Immunization.performer[1].actor: Found multiple matching profiles for #Organization-0 among choices: http://hl7.org/fhir/StructureDefinition/Organization, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.organization (1 uses)
• WARNING: Immunization/28653: Immunization.location: Found multiple matching profiles for #in-location-1 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: Immunization/28653: Immunization.performer[1].actor: Found multiple matching profiles for #Organization-0 among choices: http://hl7.org/fhir/StructureDefinition/Organization, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.organization (1 uses)
• WARNING: Immunization/ex-MHV-immunization-1: Immunization.location: Found multiple matching profiles for #in-location-1 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: Immunization/ex-MHV-immunization-1: Immunization.performer[0].actor: Found multiple matching profiles for #ex-MHV-organization-552 among choices: http://hl7.org/fhir/StructureDefinition/Organization, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.organization (1 uses)
• WARNING: Immunization/ex-MHV-immunization-2-none: Immunization.contained[1]/*Observation/in-reaction-2-none*/: Best Practice Recommendation: In general, all observations should have a performer (1 uses)
• WARNING: Immunization/ex-MHV-immunization-2-none: Immunization.location: Found multiple matching profiles for #in-location-2 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: Immunization/ex-MHV-immunization-2-none: Immunization.performer[0].actor: Found multiple matching profiles for #ex-MHV-organization-552 among choices: http://hl7.org/fhir/StructureDefinition/Organization, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.organization (1 uses)
• WARNING: Immunization/ex-MHV-immunization-2-none: Immunization.reaction[0].detail: Found multiple matching profiles for #in-reaction-2-none among choices: http://hl7.org/fhir/StructureDefinition/Observation, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.immunizationReaction (1 uses)
• WARNING: Immunization/ex-MHV-immunization-2: Immunization.location: Found multiple matching profiles for #in-location-2 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: Immunization/ex-MHV-immunization-2: Immunization.performer[0].actor: Found multiple matching profiles for #ex-MHV-organization-552 among choices: http://hl7.org/fhir/StructureDefinition/Organization, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.organization (1 uses)
• WARNING: Immunization/ex-MHV-immunization-2: Immunization.reaction[0].detail: Found multiple matching profiles for #in-reaction-2 among choices: http://hl7.org/fhir/StructureDefinition/Observation, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.immunizationReaction (1 uses)
• WARNING: Immunization/ex-MHV-immunization-3: Immunization.location: Found multiple matching profiles for #in-location-1 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: Immunization/ex-MHV-immunization-3: Immunization.performer[0].actor: Found multiple matching profiles for #ex-MHV-organization-552 among choices: http://hl7.org/fhir/StructureDefinition/Organization, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.organization (1 uses)
• WARNING: Immunization/ex-MHV-immunization-4: Immunization.location: Found multiple matching profiles for #in-location-1 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: Immunization/ex-MHV-immunization-4: Immunization.performer[0].actor: Found multiple matching profiles for #ex-MHV-organization-552 among choices: http://hl7.org/fhir/StructureDefinition/Organization, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.organization (1 uses)
• WARNING: Immunization/ex-MHV-immunization-deleted-1: Immunization.location: Found multiple matching profiles for #in-location-1 among choices: http://hl7.org/fhir/StructureDefinition/Location, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.location (1 uses)
• WARNING: Immunization/ex-MHV-immunization-deleted-1: Immunization.performer[0].actor: Found multiple matching profiles for #ex-MHV-organization-552 among choices: http://hl7.org/fhir/StructureDefinition/Organization, https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.organization (1 uses)

some allergies have a code, but not system

• No code provided, and a code should be provided from the value set 'Common substances for allergy and intolerance documentation including refutations' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1186.8|20210622) (0 uses)

stand in system for assigning authority short

• A definition for CodeSystem 'http://va.gov/terminology/vistaDefinedTerms/60' could not be found, so the code cannot be validated (49 uses)
• A definition for CodeSystem 'http://va.gov/terminology/vistaDefinedTerms/61' could not be found, so the code cannot be validated (8 uses)
• A definition for CodeSystem 'http://va.gov/terminology/vistaDefinedTerms/64' could not be found, so the code cannot be validated (49 uses)
• A definition for CodeSystem 'http://va.gov/terminology/vistaDefinedTerms/95.3' could not be found, so the code cannot be validated (12 uses)

the pain example also includes the original code (VUID)

• INFORMATION: Observation/ex-MHV-pain-1: Observation.code.coding[1]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.vitalsPain|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)

these are matching a code but still complaining

• Terminology_TX_NoValid_1_CC (0 uses)
• Terminology_TX_NoValid_3_CC (0 uses)

unclear why not but I don't care

• Target Code System http://loinc.org is only supported on the terminology server, so the target codes are not validated for performance reasons (1 uses)
• Target Code System http://snomed.info/sct is only supported on the terminology server, so the target codes are not validated for performance reasons (5 uses)

vitals can have .component that carry vista qualifiers. The following are confirmed to be legitimate

• INFORMATION: Observation/ex-MHV-oximetry-1: Observation.component[0]: This element does not match any known slice defined in the profile https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.vitalsOx|0.3.9-current (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)

Errors sorted by type

MSG_DEPENDS_ON_RETIRED