Validation Results for NHSNMeasures

Generated Mon Sep 28 16:19:40 UTC 2026, FHIR version 4.0.1 for gov.cdc.nhsn.dqm#3.0.0 (canonical = http://www.cdc.gov/nhsn/fhirportal/dqm/ig (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.3.4
Publication Code:	n/a . PackageId = gov.cdc.nhsn.dqm, Canonical = http://www.cdc.gov/nhsn/fhirportal/dqm/ig
Realm Check for n/a:	n/a
Language Info:	This IG has no language information
Publication Request:	package-id gov.cdc.nhsn.dqm version 3.0.0 path http://www.cdc.gov/nhsn/fhirportal/dqm/ig/3.0.0 Pub-Mode milestone status release Release-Label Release 3 - draft Sequence (Group) R 3 desc CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG Release 3, 3.0.0 - US Realm CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQMs) Content Package IG Release 3, US Realm. This IG contains the ACH Monthly and Daily dQMs based on FHIR R4, HL7 NHSN dQM 1.0.0, US Core 3.1.1 and 6.1.0, QI Core 6.0.0, CRMI 1.0.0, Quality Measure IG 5.0.0, CQF Common FHIR Assets 4.0.1, and DEQM 5.0.0 RelatedIgs (None Found) Error fetching package-list from http://www.cdc.gov/nhsn/fhirportal/dqm/ig: 403 Forbidden This IG has never been published, so the version should start with '0.' or include a patch version e.g. '-ballot' This appears to be the first publication, so first must be true This IG is not yet published at all, so there must be "first" : true in the publication request No publication request category found (needed for first publication - consult FHIR product director for a value No publication request title found (needed for first publication) No publication description (`registry-description`) found (needed for first publication) No publication country (`registry-country`) found (needed for first publication) No publication authority (`registry-authority`) found (needed for first publication) No publication request introduction found (needed for first publication) No publication request ci-build found (needed for first publication)
Supressed Messages:	45 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment gov.cdc.nhsn.dqm 3.0.0 R4 http://www.cdc.gov/nhsn/fhirportal/dqm/ig hl7.fhir.uv.extensions.r4 5.3.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.3.0 hl7.terminology.r4 7.1.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 Latest Release is 7.4.0 hl7.fhir.uv.extensions.r4 5.2.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 Latest Release is 5.3.0 hl7.fhir.us.nhsn-dqm 1.0.0 M R4 http://hl7.org/fhir/us/nhsn-dqm http://hl7.org/fhir/us/nhsn-dqm/STU1 hl7.terminology.r4 6.5.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.5.0 Latest Release is 7.4.0 hl7.fhir.uv.extensions.r4 5.2.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0 hl7.fhir.us.core 6.1.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU6.1 Latest Release is 9.0.0 hl7.terminology.r4 5.0.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 Latest Release is 7.4.0 hl7.fhir.uv.extensions.r4 1.0.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/1.0.0 Latest Release is 5.3.0 hl7.fhir.uv.bulkdata 2.0.0 O R4 http://hl7.org/fhir/uv/bulkdata http://hl7.org/fhir/uv/bulkdata/STU2 Latest Release is 3.0.0 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 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 (as above). Latest Release is 7.4.0 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 0.24.0 hl7.fhir.uv.sdc 3.0.0 O R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 Latest Release is 4.0.0 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 1.6.0 fhir.cqf.common 4.0.1 U R4 http://fhir.org/guides/cqf/common http://fhir.org/guides/cqf/common/4.0.1 hl7.fhir.uv.cpg 1.0.0 O R4 http://hl7.org/fhir/uv/cpg http://hl7.org/fhir/uv/cpg/STU1 Latest Release is 2.0.0 hl7.fhir.uv.crmi 1.0.0 O R4 http://hl7.org/fhir/uv/crmi http://hl7.org/fhir/uv/crmi/STU1 Latest Release is 2.0.0 hl7.terminology 5.5.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.5.0 Latest Release is 7.4.0 hl7.fhir.uv.extensions.r4 1.0.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/1.0.0 (as above). Latest Release is 5.3.0 hl7.fhir.uv.extensions.r4 5.1.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 Latest Release is 5.3.0 hl7.fhir.us.cqfmeasures 5.0.0 M R4 http://hl7.org/fhir/us/cqfmeasures http://hl7.org/fhir/us/cqfmeasures/STU5 hl7.terminology.r4 6.0.2 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.0.2 Latest Release is 7.4.0 hl7.fhir.uv.extensions.r4 5.1.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 (as above). Latest Release is 5.3.0 hl7.fhir.uv.crmi 1.0.0 O R4 http://hl7.org/fhir/uv/crmi http://hl7.org/fhir/uv/crmi/STU1 (as above). Latest Release is 2.0.0 hl7.fhir.uv.cql 1.0.0 O R4 http://hl7.org/fhir/uv/cql http://hl7.org/fhir/uv/cql/STU1 Latest Release is 2.0.0 hl7.terminology 5.5.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.5.0 (as above). Latest Release is 7.4.0 hl7.fhir.uv.extensions.r4 5.1.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 (as above). Latest Release is 5.3.0 hl7.fhir.us.davinci-deqm 5.0.0 M R4 http://hl7.org/fhir/us/davinci-deqm http://hl7.org/fhir/us/davinci-deqm/STU5 hl7.fhir.uv.extensions.r4 5.2.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0 hl7.terminology.r4 6.3.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.3.0 Latest Release is 7.4.0 hl7.fhir.uv.extensions.r4 5.2.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0 us.nlm.vsac 0.22.0 O R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac Latest Release is 0.24.0 hl7.fhir.us.qicore 6.0.0 O R4 http://hl7.org/fhir/us/qicore http://hl7.org/fhir/us/qicore/STU6 Latest Release is 7.0.2 hl7.fhir.uv.extensions.r4 1.0.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/1.0.0 (as above). Latest Release is 5.3.0 hl7.fhir.us.core 6.1.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU6.1 (as above). Latest Release is 9.0.0 fhir.dicom 2024.1.20240120 O R4 http://fhir.org/packages/fhir.dicom http://fhir.org/packages/fhir.dicom Latest Release is 2025.3.20250714 hl7.terminology 5.4.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.4.0 Latest Release is 7.4.0 hl7.fhir.uv.extensions.r4 1.0.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/1.0.0 (as above). Latest Release is 5.3.0 hl7.fhir.us.core 6.1.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU6.1 (as above). Latest Release is 9.0.0 hl7.fhir.us.cqfmeasures 5.0.0 M R4 http://hl7.org/fhir/us/cqfmeasures http://hl7.org/fhir/us/cqfmeasures/STU5 (as above) fhir.cqf.common 4.0.1 U R4 http://fhir.org/guides/cqf/common http://fhir.org/guides/cqf/common/4.0.1 (as above) hl7.fhir.us.qicore 6.0.0 O R4 http://hl7.org/fhir/us/qicore http://hl7.org/fhir/us/qicore/STU6 (as above). Latest Release is 7.0.2 hl7.fhir.uv.extensions.r4 5.2.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0 hl7.fhir.us.core 6.1.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU6.1 (as above). Latest Release is 9.0.0 hl7.fhir.us.core.v311 3.1.1 U R4 http://hl7.org/fhir/us/core/v311 http://hl7.org/fhir/us/core/STU3.1.1 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 9.0.0 fhir.cqf.common 4.0.1 U R4 http://fhir.org/guides/cqf/common http://fhir.org/guides/cqf/common/4.0.1 (as above) hl7.fhir.uv.crmi 1.0.0 O R4 http://hl7.org/fhir/uv/crmi http://hl7.org/fhir/uv/crmi/STU1 (as above). Latest Release is 2.0.0 hl7.fhir.us.cqfmeasures 5.0.0 M R4 http://hl7.org/fhir/us/cqfmeasures http://hl7.org/fhir/us/cqfmeasures/STU5 (as above) hl7.fhir.us.davinci-deqm 5.0.0 M R4 http://hl7.org/fhir/us/davinci-deqm http://hl7.org/fhir/us/davinci-deqm/STU5 (as above) hl7.fhir.us.qicore 6.0.0 O R4 http://hl7.org/fhir/us/qicore http://hl7.org/fhir/us/qicore/STU6 (as above). Latest Release is 7.0.2 hl7.terminology.r4 7.1.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 (as above). Latest Release is 7.4.0 hl7.fhir.uv.tools.r4 1.1.2 O R4 http://hl7.org/fhir/tools http://hl7.org/fhir/tools/1.1.2 Internal Dependency. Latest Release is 1.2.0 Templates: nhsn.fhir.template#1.0.0 -> fhir.base.template#current
Related IGs:	n/a
Dependent IGs:	no references
Global Profiles:	(none declared)
Terminology Server(s):	https://tx.fhir.org/r4 (details)
HTA Analysis:	Non-HL7 Igs are exempt from terminology dependency analysis
R5 Dependencies:	http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.supplementalData http://hl7.org/fhir/5.0/StructureDefinition/extension-ImplementationGuide.dependsOn.reason
Draft Dependencies:	fhir.cqf.common#4.0.1: CQFCommon (1 uses) hl7.fhir.r4.core#4.0.1: GuideParameterCode (19 uses), MedicationAdministration Category Codes (36 uses), CommonTags (35 uses), CommonLanguages (42 uses), DiagnosticServiceSectionCodes (5 uses), Encounter (57 uses), Practitioner (31 uses), PractitionerRole (33 uses), Organization (30 uses), CareTeam (12 uses), ImagingStudy (16 uses), Media (11 uses), SNOMEDCTClinicalFindings (3 uses), EncounterStatus (4 uses), ServiceType (3 uses), EpisodeOfCare (8 uses), ServiceRequest (40 uses), ParticipantType (3 uses), Appointment (3 uses), EncounterReasonCodes (3 uses), Condition (16 uses), Procedure (25 uses), DiagnosisRole (3 uses), Account (3 uses), AdmitSource (6 uses), Diet (4 uses), SpecialCourtesy (3 uses), SpecialArrangements (3 uses), DischargeDisposition (4 uses), EncounterLocationStatus (3 uses), LocationType (8 uses), LocationStatus (2 uses), LocationMode (2 uses), Endpoint (2 uses), Medication Status Codes (3 uses), SNOMEDCTFormCodes (6 uses), MedicationAdministration (27 uses), MedicationAdministration Status Codes (2 uses), SNOMEDCTReasonMedicationNotGivenCodes (6 uses), MedicationAdministration Category Codes (6 uses), SNOMEDCTMedicationCodes (3 uses), MedicationAdministration Performer Function Codes (3 uses), RelatedPerson (22 uses), Device (31 uses), ReasonMedicationGivenCodes (3 uses), SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (6 uses), SNOMEDCTRouteCodes (12 uses), SNOMEDCTAdministrationMethodCodes (6 uses), Provenance (8 uses), medicationrequest Status (3 uses), medicationRequest Status Reason Codes (5 uses), medicationRequest Intent (3 uses), medicationRequest Category Codes (9 uses), RequestPriority (5 uses), ProcedurePerformerRoleCodes (5 uses), CarePlan (14 uses), MedicationRequest (23 uses), ImmunizationRecommendation (12 uses), medicationRequest Course of Therapy Codes (3 uses), Coverage (9 uses), ClaimResponse (5 uses), SNOMEDCTAdditionalDosageInstructions (3 uses), TimingAbbreviation (3 uses), SNOMEDCTMedicationAsNeededReasonCodes (5 uses), DoseAndRateType (3 uses), UCUMCodes (3 uses), Common UCUM units (3 uses), DetectedIssue (3 uses), DeviceRequest (7 uses), NutritionOrder (9 uses), MedicationDispense (10 uses), MedicationStatement (10 uses), Immunization (10 uses), ObservationCategoryCodes (8 uses), SNOMEDCTBodyStructures (21 uses), ObservationMethods (13 uses), DeviceMetric (7 uses), ObservationReferenceRangeMeaningCodes (9 uses), ObservationReferenceRangeAppliesToCodes (9 uses), QuestionnaireResponse (15 uses), MolecularSequence (19 uses), DocumentReference (8 uses), LOINCCodes (19 uses), Specimen (14 uses), PlanDefinition (4 uses), ActivityDefinition (4 uses), Measure (2 uses), Questionnaire (2 uses), EventStatus (2 uses), Location (12 uses), ProcedureReasonCodes (3 uses), ProcedureOutcomeCodes(SNOMEDCT) (2 uses), DiagnosticReport (22 uses), Composition (2 uses), Condition/Problem/DiagnosisCodes (2 uses), ProcedureFollowUpCodes(SNOMEDCT) (2 uses), ProcedureDeviceActionCodes (2 uses), Medication (10 uses), Substance (8 uses), FHIRDeviceTypes (2 uses), RequestStatus (2 uses), RequestIntent (2 uses), ServiceRequestOrderDetailsCodes (2 uses), ParticipantRoles (2 uses), HealthcareService (2 uses), SpecimenStatus (3 uses), FHIRSpecimenCollectionMethod (3 uses), SpecimenProcessingProcedure (3 uses), SpecimenContainerType (3 uses), ConditionClinicalStatusCodes (1 uses), ConditionVerificationStatus (1 uses), ConditionCategoryCodes (2 uses), Condition/DiagnosisSeverity (1 uses), ConditionStage (1 uses), ClinicalImpression (1 uses), ConditionStageType (1 uses), ManifestationAndSymptomCodes (1 uses), FinancialResourceStatusCodes (2 uses), SubscriberRelationshipCodes (2 uses), CoverageClassCodes (6 uses), CoverageCopayTypeCodes (2 uses), ExampleCoverageFinancialExceptionCodes (2 uses), Contract (2 uses), DeviceDefinition (1 uses), UDIEntryType (1 uses), FHIRDeviceStatus (1 uses), FHIRDeviceStatusReason (1 uses), DeviceNameType (1 uses), DeviceType (2 uses), DiagnosticReportStatus (2 uses), observation-vitalsigns (7 uses), VitalSignsUnits (2 uses), List (5 uses), ListStatus (1 uses), ListMode (1 uses), ExampleUseCodesForList (1 uses), Group (2 uses), ListOrderCodes (1 uses), PatientMedicineChangeTypes (1 uses), ListEmptyReasons (1 uses), MeasureReport (5 uses), MeasureReportStatus (2 uses), MeasureReportType (2 uses), MeasureImprovementNotation (2 uses), MeasurePopulationType (4 uses), DiagnosticReportStatus (1 uses), EncounterStatus (2 uses) hl7.fhir.us.cqfmeasures#5.0.0: CQFMeasures (1 uses) hl7.fhir.us.qicore#6.0.0: QICoreNotDoneValueSet (20 uses) hl7.fhir.uv.extensions.r4#5.3.0: SDcompliesWithProfile (1 uses), CQFCQLOptions (6 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Unable to compare with previous version: Unable to find version history at http://www.cdc.gov/nhsn/fhirportal/dqm/ig (Problem #1 with package-list.json at http://www.cdc.gov/nhsn/fhirportal/dqm/ig: 403 Forbidden)
IPA Comparison:	n/a
IPS Comparison:	n/a
Validation Flags:	On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Summary:	errors = 4, warn = 18, info = 137, broken links = 0, pinned = 199 (when multiples). Show Message Ids

n/a Show Validation Information

fsh-generated/resources/ImplementationGuide-gov.cdc.nhsn.dqm.json Show Validation Information (1)

fsh-generated/resources/ValueSet-ach-daily-diagnostic-report-status.json Show Validation Information (1)

fsh-generated/resources/ValueSet-ach-daily-encounter-class.json Show Validation Information (1)

fsh-generated/resources/ValueSet-ach-daily-encounter-status.json Show Validation Information (1)

fsh-generated/resources/ValueSet-ach-daily-encounter-type-ip.json Show Validation Information (1)

fsh-generated/resources/ValueSet-ach-monthly-encounter-class.json Show Validation Information (1)

fsh-generated/resources/ValueSet-ach-monthly-encounter-status.json Show Validation Information (1)

fsh-generated/resources/ValueSet-ach-monthly-encounter-type-ip.json Show Validation Information (1)

fsh-generated/resources/ValueSet-medication-request-reason-valueset.json Show Validation Information (1)

fsh-generated/resources/ValueSet-procedure-category-valueset.json Show Validation Information (1)

fsh-generated/resources/ValueSet-procedure-reason-valueset.json Show Validation Information (1)

fsh-generated/resources/ValueSet-service-request-category-valueset.json Show Validation Information (1)

input/resources/measure/measure-NHSNAcuteCareHospitalMonthlyInitialPopulation.xml Show Validation Information (5)

0ms tx-op
0ms http://snomed.info/sct/vs|http://snomed.info/sct/731000124108/version/20250901: Validate "[http://snomed.info/sct#103693007 ("Diagnostic procedure")]"
0ms http://snomed.info/sct/vs|http://snomed.info/sct/731000124108/version/20250901: Check "http://snomed.info/sct#103693007"
1ms http://snomed.info/sct/vs|http://snomed.info/sct/731000124108/version/20250901: CodeSystem found: http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250901 for http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250901
1ms http://snomed.info/sct/vs|http://snomed.info/sct/731000124108/version/20250901: check code in (http://snomed.info/sct) at Coding
1ms http://snomed.info/sct/vs|http://snomed.info/sct/731000124108/version/20250901: Code "103693007" found in http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250901

Suppressed Messages (Warnings, hints, broken links)

01. 💭💭💭 NHSN does not use (and may strip) performer in Observations. They are not included in samples in this IG 💭💭💭

• Best Practice Recommendation: In general, all observations should have a performer (55 uses)

02. ⚠️⚠️⚠️ Custom template contains javascript required for the IG ⚠️⚠️⚠️

• The <script> containing the javascript '$(document).ready(fu'... is illegal and not allowed on the HL7 ci-build - need to put the script in a .js file in a trusted template if this IG is to build on the HL7 ci-build (if it is justified and needed)% (1 uses)
• The <script> containing the javascript 'anchors.options.visi'... is illegal and not allowed on the HL7 ci-build - need to put the script in a .js file in a trusted template if this IG is to build on the HL7 ci-build (if it is justified and needed)% (1 uses)
• The <script> containing the javascript 'try { var curr'... is illegal and not allowed on the HL7 ci-build - need to put the script in a .js file in a trusted template if this IG is to build on the HL7 ci-build (if it is justified and needed)% (1 uses)

03. 💭💭💭 Extensions meant to have a context of Element. 💭💭💭

• Review the extension type for link-original-element-value-extension: extensions should not have a context of Element unless it's really intended that they can be used anywhere (1 uses)
• Review the extension type for link-original-mapped-concept-extension: extensions should not have a context of Element unless it's really intended that they can be used anywhere (1 uses)

04. 💭💭💭 Code system is proper even though noted as draft. 💭💭💭

• Reference to draft CodeSystem http://hl7.org/fhir/diagnostic-report-status|4.0.1 (5 uses)
• Reference to draft CodeSystem http://hl7.org/fhir/encounter-status|4.0.1 (43 uses)
• Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/observation-category|0.1.0 (43 uses)
• Reference to draft ValueSet http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1 (0 uses)

05. ⚠️⚠️⚠️ WARNING: Invalid Invariant - CQMF STU3 uses an incorrect variant expression "value.startsWith(library).not()", it was later corrected to "expression.contains('.').not()" in STU4, for which this resource passes ⚠️⚠️⚠️

• INFORMATION: StructureDefinition/ach-daily-diagnosticreport-lab: StructureDefinition.snapshot.element[21].slicing.discriminator[0]: 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) (1 uses)
• INFORMATION: StructureDefinition/ach-daily-observation-lab: StructureDefinition.snapshot.element[22].slicing.discriminator[0]: 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) (1 uses)
• INFORMATION: StructureDefinition/ach-monthly-diagnosticreport-lab: StructureDefinition.snapshot.element[21].slicing.discriminator[0]: 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) (1 uses)
• INFORMATION: StructureDefinition/ach-monthly-observation-lab: StructureDefinition.snapshot.element[22].slicing.discriminator[0]: 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) (1 uses)

06. 💭💭💭 INFORMATION: Notice where contained subject list resource cannot be processed 💭💭💭

• Unable to check the stated count 3 because the subject list cannot be fully processed (Subject reference MeasureReport resolved to a #list-example-ach-monthly-individual-measurereport-list, which could not be processed) (3 uses)
• Unable to check the stated count 4 because the subject list cannot be fully processed (Subject reference MeasureReport resolved to a #list-example-ach-daily-individual-measurereport-list, which could not be processed) (3 uses)

07. ⚠️⚠️⚠️ WARNING: An example proprietary code system, not meant to be validated ⚠️⚠️⚠️

• A definition for CodeSystem 'http://www.example.com/prorpietary' could not be found, so the code cannot be validated (3 uses)

08. 💭💭💭INFORMATION: maxValueSet is used by tooling for R4. 💭💭💭

• The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet% (1 uses)

09. ⚠️⚠️⚠️ WARNING: Descriptive URLs are not expected to resolve ⚠️⚠️⚠️

• %URL value 'urn:oid:% (271 uses)
• No definition could be found for URL value 'https://nhsnlink.org' (12 uses)
• No definition could be found for URL value 'https://www.cdc.gov/nhsn/OrgID' (7 uses)

10. ⚠️⚠️⚠️ WARNING: This IG has dependencies on older IG versions by design as these are the versions most likely to be supported in production at this time. ⚠️⚠️⚠️

• The ImplementationGuide uses package hl7.fhir.us.core#6.1.0 released on 2023-06-30, but the most recent appropriate version is 8.0.1. This reference is getting old and the more recent version should be considered (0 uses)
• The ImplementationGuide uses package hl7.fhir.us.qicore#6.0.0 released on 2024-03-01, but the most recent appropriate version is 7.0.2. This reference is getting old and the more recent version should be considered (1 uses)

11. 💭💭💭 Base NHSN website url with no artifact definition, Added to url by CQFTooling. 💭💭💭

• No definition could be found for URL value 'https://www.cdc.gov/nhsn/index.html' (3 uses)

12. 💭💭💭 Pinned versions 💭💭💭

• Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet% (59 uses)
• Pinned the version of http://hl7.org/fhir/StructureDefinition% (3 uses)
• Pinned the version of http://hl7.org/fhir/us/core/CodeSystem/% (1 uses)
• Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/% (60 uses)
• Pinned the version of http://hl7.org/fhir/us/core/ValueSet% (18 uses)
• Pinned the version of http://terminology.hl7.org/% (58 uses)

13. ⚠️⚠️⚠️ WARNING: CQL and Measure processing is performed prior to the publisher, so this warning does not apply ⚠️⚠️⚠️

• Artifact library could not be found so no data requirements were inferred. (3 uses)

14. 💭💭💭 INFORMATION: Deprecated pattern slicing from an inherited US Core profile 💭💭💭

• 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) (17 uses)

15. 💭💭💭 INFORMATION: INFORMATION: Examples include additional illustrative categories, categories are not meant to resolve 💭💭💭

• This element does not match any known slice defined in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cohort-measure-cqfm% (3 uses)
• This element does not match any known slice defined in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm% (3 uses)
• This element does not match any known slice defined in the profile http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medication% (14 uses)
• This element does not match any known slice defined in the profile http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition% (6 uses)
• This element does not match any known slice defined in the profile http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-measurereport-bundle% (8 uses)
• This element does not match any known slice defined in the profile http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-subject-bundle% (5 uses)

16. 💭💭💭 INFORMATION: Deprecated extension for Condition.language from an inherited R4 profile 💭💭💭

• The extension http://hl7.org/fhir/StructureDefinition/iso21090-preferred|5.2.0 is deprecated (0 uses)

17. 💭💭💭 INFORMATION: String incorrectly identified as html. It is CQL. 💭💭💭

• INFORMATION: Measure/NHSNAcuteCareHospitalDailyInitialPopulation: Measure.contained[0]/*Library/effective-data-requirements*/.extension[82].extension[2].value.ofType(string): 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)

18. ⚠️⚠️⚠️ WARNING: RXNorm CodeSystem version is acceptable ⚠️⚠️⚠️

• A definition for CodeSystem 'http://www.nlm.nih.gov/research/umls/rxnorm' version '04072025' could not be found, so the code cannot be validated% (73 uses)

19. ⚠️⚠️⚠️ WARNING: Unable to expand large valueset ⚠️⚠️⚠️

• WARNING: ValueSet.where(id = 'medication-request-reason-valueset'): Unable to expand included value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code': The value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|6.1.0' expansion has too many codes to produce (>1000) (and Error from https://tx.fhir.org/r4: Error: The value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code' expansion has too many codes to produce (>10000)) (0 uses)
• WARNING: ValueSet.where(id = 'procedure-reason-valueset'): Unable to expand included value set 'http://hl7.org/fhir/ValueSet/procedure-reason': The value set 'http://hl7.org/fhir/ValueSet/procedure-reason|4.0.1' expansion has too many codes to produce (>1000) (and Error from https://tx.fhir.org/r4: Error: The value set 'http://hl7.org/fhir/ValueSet/procedure-reason' expansion has too many codes to produce (>10000)) (1 uses)

20. 💭💭💭 INFORMATION: Using SNOMED code instead of LOINC for precision 💭💭💭

• None of the codings provided are in the value set 'LOINC Diagnostic Report Codes' (http://hl7.org/fhir/ValueSet/report-codes|4.0.1), and a coding is recommended to come from this value set (codes = http://snomed.info/sct#14331000087103) (2 uses)

21. ⚠️⚠️⚠️ WARNING: SNOMED Codes used in Specimen.type examples are valid ⚠️⚠️⚠️

• A definition for CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250301' could not be found, so the code cannot be validated% (30 uses)

Errors sorted by type

IG_DEPENDENCY_VERSION_WARNING_OLD

INACTIVE_CONCEPT_FOUND

MEASURE_MR_GRP_POP_COUNT_CANT_CHECK

MSG_DEPENDS_ON_DEPRECATED_NOTE

MSG_DRAFT

SECURITY_STRING_CONTENT_WARNING

Terminology_TX_NoValid_16

Terminology_TX_NoValid_3_CC

UNABLE_TO_INFER_CODESYSTEM