Validation Results for EICRAnonymized

Generated Wed Apr 09 08:14:39 UTC 2025, FHIR version 4.0.1 for ecr.fhir.us.anonymized-eicr#1.0.1 (canonical = http://fhir.org/fhir/us/anonymized-eicr (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v1.8.23
Publication Code:	n/a . PackageId = ecr.fhir.us.anonymized-eicr, Canonical = http://fhir.org/fhir/us/anonymized-eicr
Realm Check for n/a:	n/a
Language Info:	This IG has no language information
Publication Request:	This IG has never been published This IG has never been published, so the version should start with '0.' or include a patch version e.g. '-ballot' No publication request found
Supressed Messages:	54 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment ecr.fhir.us.anonymized-eicr 1.0.1 R4 http://fhir.org/fhir/us/anonymized-eicr hl7.terminology.r4 6.2.0 U R4 http://terminology.hl7.org http://terminology.hl7.org/6.2.0 hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 hl7.fhir.us.ecr 2.1.2 M R4 http://hl7.org/fhir/us/ecr http://hl7.org/fhir/us/ecr/STU2.1 hl7.terminology.r4 6.0.2 U R4 http://terminology.hl7.org http://terminology.hl7.org/6.0.2 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 5.2.0 hl7.fhir.us.core 4.0.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU4 Latest Release is 7.0.0 hl7.fhir.uv.bulkdata 1.0.1 O R4 http://hl7.org/fhir/uv/bulkdata http://hl7.org/fhir/uv/bulkdata/STU1.0.1 Latest Release is 2.0.0 us.nlm.vsac 0.3.0 O R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac Latest Release is 0.21.0 us.nlm.vsac 0.19.0 O R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac Latest Release is 0.21.0 us.cdc.phinvads 0.12.0 M R4 http://fhir.org/packages/us.cdc.phinvads http://fhir.org/packages/us.cdc.phinvads hl7.fhir.us.vr-common-library 1.0.0 O R4 http://hl7.org/fhir/us/vr-common-library http://hl7.org/fhir/us/vr-common-library/STU1 Latest Release is 2.0.0 hl7.fhir.us.core 4.0.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU4 see above. Latest Release is 7.0.0 us.cdc.phinvads 0.7.0 O R4 http://fhir.org/packages/us.cdc.phinvads http://fhir.org/packages/us.cdc.phinvads Latest Release is 0.12.0 hl7.fhir.us.odh 1.1.0 O R4 http://hl7.org/fhir/us/odh http://hl7.org/fhir/us/odh/STU1.1 Latest Release is 1.3.0 hl7.fhir.us.core 3.1.1 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU3.1.1 Latest Release is 7.0.0 us.cdc.phinvads 0.7.0 O R4 http://fhir.org/packages/us.cdc.phinvads http://fhir.org/packages/us.cdc.phinvads see above. Latest Release is 0.12.0 hl7.fhir.uv.bulkdata 1.1.0 O R4 http://hl7.org/fhir/uv/bulkdata http://hl7.org/fhir/uv/bulkdata/2021May Latest Release is 2.0.0 us.nlm.vsac 0.21.0 M R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac hl7.fhir.us.core 4.0.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU4 see above. Latest Release is 7.0.0 hl7.fhir.us.odh 1.1.0 O R4 http://hl7.org/fhir/us/odh http://hl7.org/fhir/us/odh/STU1.1 see above. Latest Release is 1.3.0 Templates: ecr.fhir.template#1.0.0 -> fhir.base.template#current. Tools: 0.4.1
Related IGs:	n/a
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 (15 uses), CommonLanguages (13 uses), NarrativeStatus (28 uses), CarePlan (1 uses), DeviceRequest (1 uses), ImmunizationRecommendation (2 uses), MedicationRequest (1 uses), NutritionOrder (1 uses), ServiceRequest (3 uses), MedicationAdministration (3 uses), MedicationDispense (1 uses), MedicationStatement (1 uses), Procedure (2 uses), Immunization (1 uses), ImagingStudy (2 uses), ObservationCategoryCodes (2 uses), LOINCCodes (12 uses), Encounter (4 uses), Practitioner (24 uses), PractitionerRole (23 uses), Organization (40 uses), CareTeam (1 uses), RelatedPerson (27 uses), SNOMEDCTBodyStructures (2 uses), ObservationMethods (2 uses), Specimen (2 uses), Device (23 uses), DeviceMetric (1 uses), ObservationReferenceRangeMeaningCodes (10 uses), ObservationReferenceRangeAppliesToCodes (10 uses), QuestionnaireResponse (4 uses), MolecularSequence (3 uses), DocumentReference (2 uses), Media (2 uses), CompositionStatus (1 uses), FHIRDocumentTypeCodes (1 uses), CompositionAttestationMode (1 uses), DocumentRelationshipType (3 uses), Composition (59 uses), DocumentSectionCodes (19 uses), ListMode (19 uses), ListOrderCodes (19 uses), ListEmptyReasons (19 uses), EncounterStatus (2 uses), ServiceType (1 uses), EpisodeOfCare (1 uses), ParticipantType (2 uses), Appointment (1 uses), EncounterReasonCodes (1 uses), DiagnosisRole (1 uses), Account (1 uses), Location (3 uses), AdmitSource (1 uses), Diet (1 uses), SpecialCourtesy (1 uses), SpecialArrangements (1 uses), DischargeDisposition (1 uses), EncounterLocationStatus (1 uses), LocationType (1 uses), ImmunizationStatusCodes (1 uses), ImmunizationStatusReasonCodes (1 uses), ImmunizationOriginCodes (1 uses), CodesForImmunizationSiteOfAdministration (1 uses), ImmunizationRouteCodes (1 uses), ImmunizationFunctionCodes (1 uses), ImmunizationReasonCodes (1 uses), Condition (1 uses), DiagnosticReport (1 uses), ImmunizationSubpotentReason (1 uses), ImmunizationProgramEligibility (1 uses), ImmunizationFundingSource (1 uses), ImmunizationTargetDiseaseCodes (1 uses), OrganizationType (1 uses), ContactEntityType (1 uses), Endpoint (2 uses), HealthcareService (1 uses), PatientRelationshipType (1 uses) hl7.fhir.us.odh#1.1.0: HL7_FHIR_Profile_Occupational_Data_for_Health_ODH_Release_1_1_Standard_for_Trial_Use (1 uses), Employer (4 uses) hl7.fhir.uv.extensions.r4#5.2.0: TypeMustSupport (8 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Unable to compare with previous version: Unable to find version history at http://fhir.org/fhir/us/anonymized-eicr (Problem #1 with package-list.json at http://fhir.org/fhir/us/anonymized-eicr: Not Found)
IPA Comparison:	n/a
IPS Comparison:	n/a
Validation Flags:	On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Summary:	errors = 0, warn = 0, info = 0, broken links = 0, pinned = n/a. Show Message Ids

n/a Show Validation Information

Suppressed Messages (Warnings, hints, broken links)

01 - Not required for this IG

• Best Practice Recommendation: In general, all observations should have a performer (39 uses)
• Best Practice Recommendation: In general, all observations should have an effective[x] () (6 uses)

02 The non-defined slices are intentional

• This element does not match any known slice defined in the profile http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-document-bundle|1.0.1 (this may not be a problem, but you should check that it's not intended to match a slice) (38 uses)
• This element does not match any known slice defined in the profile http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-organization|1.0.1 (this may not be a problem, but you should check that it's not intended to match a slice) (2 uses)
• This element does not match any known slice defined in the profile http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-past-or-present-job|1.0.1 (this may not be a problem, but you should check that it's not intended to match a slice) (4 uses)
• This element does not match any known slice defined in the profile http://hl7.org/fhir/us/ecr/StructureDefinition/rr-responsible-agency-organization|2.1.2 (this may not be a problem, but you should check that it's not intended to match a slice) (2 uses)
• This element does not match any known slice defined in the profile http://hl7.org/fhir/us/ecr/StructureDefinition/rr-routing-entity-organization|2.1.2 (this may not be a problem, but you should check that it's not intended to match a slice) (2 uses)
• This element does not match any known slice defined in the profile http://hl7.org/fhir/us/ecr/StructureDefinition/rr-rules-authoring-agency-organization|2.1.2 (this may not be a problem, but you should check that it's not intended to match a slice) (2 uses)
• This element does not match any known slice defined in the profile http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization|2.1.2 (this may not be a problem, but you should check that it's not intended to match a slice) (6 uses)
• This element does not match any known slice defined in the profile http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork|1.1.0 (this may not be a problem, but you should check that it's not intended to match a slice) (4 uses)

03 - External code system that the terminology server cannot validate

• A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/PHIndustryCDCCensus2010' could not be found, so the code cannot be validated (3 uses)
• A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/PHOccupationCDCCensus2010' could not be found, so the code cannot be validated (3 uses)
• A definition for CodeSystem 'urn:oid:1.0.3166.1' could not be found, so the code cannot be validated (3 uses)
• A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.232' could not be found, so the code cannot be validated (12 uses)
• A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated (21 uses)
• A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.3|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found (3 uses)
• A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.4|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found (6 uses)
• A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.5|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found (6 uses)
• A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.6|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found (2 uses)
• A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.314' could not be found, so the code cannot be validated (3 uses)
• A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.315' could not be found, so the code cannot be validated (3 uses)
• Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.3|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found (3 uses)
• Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.4|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found (6 uses)
• Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.5|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found (6 uses)
• Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.6|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found (2 uses)

04 - Value intentionally used in example

• The code '103693007' is valid but is not active (3 uses)

05 - This is due to the anonymization masking and has been checked

• 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 (172 uses)

06 - Aware of the deprecation and will update in future release

• The extension http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber|5.2.0 is deprecated (1 uses)
• The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.2.0 is deprecated (1 uses)
• The extension http://hl7.org/fhir/StructureDefinition/regex|5.2.0 is deprecated with the note This was deprecated in favor of using a constraint on the element using FHIRPath, since constraints allow for the provision of a human readable message associated with the regex (1 uses)

07 - These value sets are not retired, they have been updated but are not in the VSAC package release version that the eCR IG depends on

• INFORMATION: Bundle/bundle-document-zika-anon: Bundle.entry[13].resource.code: Reference to retired ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.49|20201101 (1 uses)
• INFORMATION: Bundle/bundle-document-zika-anon: Bundle.entry[8].resource.extension[0].value.ofType(CodeableConcept): Reference to retired ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.12|20190823 (1 uses)
• INFORMATION: MedicationAdministration/medicationadministration-naloxone-response-anon: MedicationAdministration.extension[0].value.ofType(CodeableConcept): Reference to retired ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.12|20190823 (1 uses)
• INFORMATION: Observation/observation-disability-status-anon: Observation.code: Reference to retired ValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.49|20201101 (1 uses)

08 - For future FHIR R5 consideration

• The discriminator type 'pattern' is deprecated in R5+. For future compatibility, you could consider using type=value with a pattern[x] instead (if this is not an inherited slicing) (4 uses)

09 - These pdfs do not exist and the links are for example purposes only

• Can't find 'http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf' in the bundle (Bundle.entry[36].resource.content[0].attachment.url) (1 uses)
• Can't find 'http://statedepartmentofhealth.gov/epi/disease/zika/outbreakinfo.pdf' in the bundle (Bundle.entry[38].resource.content[0].attachment.url) (1 uses)
• Can't find 'http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf' in the bundle (Bundle.entry[37].resource.content[0].attachment.url) (1 uses)

10 - These are identifiers and not meant to resolve

• Canonical URL 'http://fhir.org/packages/us.nlm.vsac/ImplementationGuide/us.nlm.vsac' does not resolve (1 uses)
• URL value 'http://hl7.org.fhir/sid/us-npi' does not resolve (19 uses)
• URL value 'urn:oid:1.0.3166.1' does not resolve (3 uses)
• URL value 'urn:oid:2.16.840.1.114222.4.11.7508' does not resolve (5 uses)
• URL value 'urn:oid:2.16.840.1.114222.4.5.232' does not resolve (12 uses)
• URL value 'urn:oid:2.16.840.1.114222.4.5.274' does not resolve (18 uses)
• URL value 'urn:oid:2.16.840.1.114222.4.5.314' does not resolve (3 uses)
• URL value 'urn:oid:2.16.840.1.114222.4.5.315' does not resolve (3 uses)

11 - These are examples and not meant to resolve

• URL value 'http://hospital.smarthealthit.org' does not resolve (3 uses)
• URL value 'http://lab.smarthealthit.org' does not resolve (3 uses)
• URL value 'http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf' does not resolve (2 uses)
• URL value 'http://statedepartmentofhealth.gov/epi/disease/zika/outbreakinfo.pdf' does not resolve (2 uses)
• URL value 'http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf' does not resolve (2 uses)

12 - Will consider hard coding the versions at a later date

• There are multiple different potential matches for% (147 uses)

13 - The next version of eCR will be based on a more recent versions of the IGs

• The ImplementationGuide uses package hl7.fhir.us.core#4.0.0 released on 2021-06-28, but the most recent appropriate version is 7.0.0. This reference is getting old and the more recent version should be considered (1 uses)
• The ImplementationGuide uses package hl7.fhir.us.odh#1.1.0 released on 2021-07-12, but the most recent appropriate version is 1.3.0. This reference is getting old and the more recent version should be considered (1 uses)

Errors sorted by type