Validation Results for UdsPlusFhirIg

Generated Fri Mar 28 22:50:57 AEDT 2025, FHIR version 4.0.1 for fhir.hrsa.uds-plus#2.0.0 (canonical = http://fhir.org/guides/hrsa/uds-plus (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v(unknown), which is out of date. The current version is v1.8.22 Download Latest
Publication Code:	n/a . PackageId = fhir.hrsa.uds-plus, Canonical = http://fhir.org/guides/hrsa/uds-plus
Realm Check for n/a:	n/a
Language Info:	This IG has no language information
Publication Request:	package-id fhir.hrsa.uds-plus version 2.0.0 path http://fhir.org/guides/hrsa/uds-plus/STU2 Pub-Mode milestone status trial-use Release-Label STU2 Release 1 - Standard for Trial-Use Sequence (Group) STU2 (current: 'STU1', others = n/a) desc This UDS+ IG provides the ability for a FQHC to report UDS+ data to HRSA for 2024 reporting period. changes changes.html RelatedIgs (None Found) No Messages found - all good
Supressed Messages:	17 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment fhir.hrsa.uds-plus 2.0.0 R4 http://fhir.org/guides/hrsa/uds-plus 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.core 6.1.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU6.1 Latest Release is 7.0.0 hl7.terminology.r4 5.0.0 U R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 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 5.2.0 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 2.1.0 O R4 http://hl7.org/fhir/smart-app-launch http://hl7.org/fhir/smart-app-launch/STU2.1 Latest Release is 2.2.0 hl7.terminology.r4 5.0.0 U R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 see above us.nlm.vsac 0.11.0 O R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac Latest Release is 0.21.0 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 us.cdc.phinvads 0.12.0 M R4 http://fhir.org/packages/us.cdc.phinvads http://fhir.org/packages/us.cdc.phinvads ihe.formatcode.fhir 1.1.0 O R4 https://profiles.ihe.net/fhir/ihe.formatcode.fhir https://profiles.ihe.net/fhir/ihe.formatcode.fhir/1.1.0 Latest Release is 1.3.0 hl7.fhir.uv.bulkdata 2.0.0 M R4 http://hl7.org/fhir/uv/bulkdata http://hl7.org/fhir/uv/bulkdata/STU2 see above hl7.fhir.uv.smart-app-launch 2.1.0 O R4 http://hl7.org/fhir/smart-app-launch http://hl7.org/fhir/smart-app-launch/STU2.1 see above. Latest Release is 2.2.0 us.nlm.vsac 0.21.0 M R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac us.cdc.phinvads 0.12.0 M R4 http://fhir.org/packages/us.cdc.phinvads http://fhir.org/packages/us.cdc.phinvads see above Templates: fhir.udsplus.hrsa.gov.template#0.1.0 -> 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), AdverseEvent (1 uses), CommonLanguages (21 uses), AdverseEventActuality (1 uses), AdverseEventCategory (1 uses), SNOMEDCTClinicalFindings (1 uses), Encounter (7 uses), Condition (14 uses), Location (7 uses), AdverseEventSeriousness (1 uses), AdverseEventSeverity (1 uses), AdverseEventOutcome (1 uses), Practitioner (23 uses), PractitionerRole (23 uses), RelatedPerson (22 uses), Device (13 uses), Immunization (8 uses), Procedure (10 uses), Substance (2 uses), Medication (4 uses), MedicationAdministration (7 uses), MedicationStatement (7 uses), AdverseEventCausalityAssessment (1 uses), AdverseEventCausalityMethod (1 uses), AllergyIntolerance (4 uses), FamilyMemberHistory (1 uses), Media (5 uses), DocumentReference (9 uses), ResearchStudy (1 uses), AllergyIntoleranceClinicalStatusCodes (1 uses), AllergyIntoleranceVerificationStatusCodes (1 uses), AllergyIntoleranceType (1 uses), AllergyIntoleranceCategory (1 uses), AllergyIntoleranceCriticality (1 uses), SubstanceCode (1 uses), SNOMEDCTClinicalFindings (1 uses), AllergyIntoleranceSeverity (1 uses), SNOMEDCTRouteCodes (2 uses), CarePlan (8 uses), DeviceRequest (4 uses), ImmunizationRecommendation (5 uses), MedicationRequest (9 uses), NutritionOrder (4 uses), ServiceRequest (12 uses), MedicationDispense (5 uses), ImagingStudy (8 uses), LOINCCodes (10 uses), Organization (22 uses), CareTeam (6 uses), SNOMEDCTBodyStructures (7 uses), ObservationMethods (4 uses), Specimen (5 uses), DeviceMetric (4 uses), ObservationReferenceRangeMeaningCodes (4 uses), ObservationReferenceRangeAppliesToCodes (4 uses), QuestionnaireResponse (8 uses), MolecularSequence (8 uses), Coverage (3 uses), FinancialResourceStatusCodes (1 uses), SubscriberRelationshipCodes (1 uses), CoverageClassCodes (1 uses), CoverageCopayTypeCodes (1 uses), ExampleCoverageFinancialExceptionCodes (1 uses), Contract (1 uses), assertedDate (2 uses), ConditionClinicalStatusCodes (1 uses), ConditionVerificationStatus (1 uses), ConditionCategoryCodes (1 uses), Condition/DiagnosisSeverity (1 uses), ConditionStage (1 uses), ClinicalImpression (1 uses), DiagnosticReport (6 uses), ConditionStageType (1 uses), ManifestationAndSymptomCodes (1 uses), EncounterStatus (2 uses), ServiceType (1 uses), EpisodeOfCare (2 uses), ParticipantType (1 uses), Appointment (1 uses), EncounterReasonCodes (1 uses), DiagnosisRole (1 uses), Account (1 uses), AdmitSource (1 uses), Diet (1 uses), SpecialCourtesy (1 uses), SpecialArrangements (1 uses), EncounterLocationStatus (1 uses), LocationType (2 uses), ImmunizationStatusCodes (1 uses), ImmunizationStatusReasonCodes (1 uses), ImmunizationOriginCodes (1 uses), CodesForImmunizationSiteOfAdministration (1 uses), ImmunizationRouteCodes (1 uses), ImmunizationFunctionCodes (1 uses), ImmunizationReasonCodes (1 uses), ImmunizationSubpotentReason (1 uses), ImmunizationProgramEligibility (1 uses), ImmunizationFundingSource (1 uses), ImmunizationTargetDiseaseCodes (1 uses), ObservationCategoryCodes (2 uses), Data Absent Reason (4 uses), LocationStatus (1 uses), LocationMode (1 uses), Endpoint (1 uses), medicationrequest Status (1 uses), medicationRequest Status Reason Codes (1 uses), medicationRequest Intent (1 uses), medicationRequest Category Codes (1 uses), RequestPriority (2 uses), SNOMEDCTMedicationCodes (2 uses), ProcedurePerformerRoleCodes (2 uses), Condition/Problem/DiagnosisCodes (3 uses), medicationRequest Course of Therapy Codes (1 uses), ClaimResponse (2 uses), DetectedIssue (1 uses), Provenance (2 uses), Medication Status Codes (1 uses), SNOMEDCTDrugTherapyStatusCodes (1 uses), Medication usage category codes (1 uses), SNOMEDCTAdditionalDosageInstructions (1 uses), SNOMEDCTMedicationAsNeededReasonCodes (2 uses), SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (1 uses), SNOMEDCTAdministrationMethodCodes (1 uses), DoseAndRateType (1 uses), PlanDefinition (2 uses), ActivityDefinition (2 uses), Measure (1 uses), Questionnaire (1 uses), EventStatus (1 uses), ProcedureCategoryCodes(SNOMEDCT) (1 uses), ProcedureReasonCodes (2 uses), ProcedureOutcomeCodes(SNOMEDCT) (1 uses), Composition (1 uses), ProcedureFollowUpCodes(SNOMEDCT) (1 uses), ProcedureDeviceActionCodes (1 uses), FHIRDeviceTypes (1 uses), PatientRelationshipType (2 uses), RequestStatus (1 uses), RequestIntent (1 uses), ServiceRequestCategoryCodes (1 uses), ServiceRequestOrderDetailsCodes (1 uses), ParticipantRoles (1 uses), HealthcareService (1 uses), Shareable ValueSet (5 uses) hl7.fhir.uv.bulkdata#2.0.0: BulkDataAccessIG (1 uses) hl7.fhir.uv.extensions.r4#5.2.0: SDStatusDerivation (94 uses), TypeMustSupport (47 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Comparison with version 1.1.0
IPA Comparison:	n/a
IPS Comparison:	n/a
Validation Flags:	On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Narratives Suppressed	AdverseEvent/de-identified-example, AllergyIntolerance/de-identified-example, Observation/clinical-result-de-identified-example, Condition/de-identified-example, Coverage/de-identified-example, Encounter/de-identified-example, Observation/generic-observation-de-identified-example, Immunization/de-identified-example, Observation/de-identified-example, MedicationRequest/de-identified-example, MedicationStatement/de-identified-example, Observation/de-identified-income-with-quantity-example, Observation/de-identified-income-example, Observation/de-identified-low-income-example, Patient/de-identified-age89-example, Patient/de-identified-smallpop-example, Patient/de-identified-example, Procedure/de-identified-example, RelatedPerson/de-identified-example, ServiceRequest/de-identified-example
Summary:	errors = 0, warn = 9, info = 0, broken links = 0, pinned = n/a. Show Message Ids

n/a Show Validation Information

input/resources/uds-plus-allergyintolerance.xml Show Validation Information (1)

input/resources/uds-plus-encounter.xml Show Validation Information (1)

input/resources/uds-plus-medicationrequest.xml Show Validation Information (1)

input/resources/uds-plus-servicerequest.xml Show Validation Information (1)

input/resources/valueset-udsplus-service-delivery-codes.xml Show Validation Information (1)

Suppressed Messages (Warnings, hints, broken links)

Best Practice Recommendation which is not required by UDS+

• Best Practice Recommendation: In general, all observations should have a performer (4 uses)

Messages from the Base Specification

• 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)

Old Specification Warnings, the versions chosen are based on current US regulations

• The ImplementationGuide uses package hl7.fhir.us.core#6.1.0 released on 2023-06-30, 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.uv.smart-app-launch#2.1.0 released on 2023-04-18, but the most recent appropriate version is 2.2.0. This reference is getting old and the more recent version should be considered (1 uses)

Resources in UDS+ are de-identified and text is not allowed, hence the resources should not have text.

• Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (20 uses)

Terminology Server Warnings

• ValueSet 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.121' not found (0 uses)

Terminology Warnings based on the base FHIR Specification

• There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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. Using version '5.2.0', found versions: 1.0.0, 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0' (0 uses)
• There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode'. 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. Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode' to 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0' (0 uses)
• There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActPriority'. 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. Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActPriority' to 'http://terminology.hl7.org/ValueSet/v3-ActPriority|3.0.0' (0 uses)
• There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode'. 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. Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode' to 'http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode|3.0.0' (0 uses)
• There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType'. 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. Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType' to 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType|3.0.0' (0 uses)
• There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason'. 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. Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason' to 'http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason|3.0.0' (0 uses)

The Terminology Server does not have the CodeSystem loaded

• A definition for CodeSystem 'http://www.nubc.org/patient-discharge' could not be found, so the code cannot be validated (2 uses)
• A definition for CodeSystem 'http://www.nubc.org/patient-discharge' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition|6.1.0' because the code system http://www.nubc.org/patient-discharge was not found (2 uses)
• Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition|6.1.0' because the code system http://www.nubc.org/patient-discharge was not found (2 uses)

This is being included based on US Core 6.1.0 dependencies and mimic the US Core examples

• UCUM Codes that contain human readable annotations like {Z-Score} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked (1 uses)

Errors sorted by type

TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS