Validation Results for NHSNMeasures

Generated Mon Nov 10 16:44:27 UTC 2025, FHIR version 4.0.1 for gov.cdc.nhsn.measures#2.0.0-cibuild (canonical = http://www.cdc.gov/nhsn/fhirportal/dqm/ig (history)). See Full QA Report & IP

Quality Checks

Publisher Version:

IG Publisher Version: v2.0.26

Publication Code:

n/a . PackageId = gov.cdc.nhsn.measures, Canonical = http://www.cdc.gov/nhsn/fhirportal/dqm/ig

Realm Check for n/a:

Language Info:

This IG has no language information

Publication Request:

package-id

gov.cdc.nhsn.measures

path

http://www.cdc.gov/nhsn/fhirportal/dqm/ig/2.0.0

Pub-Mode

working release

status

preview

Release-Label

Release 2 ci-build

Sequence (Group)

R 2 (current: 'R 1', others = n/a)

desc

CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG Release 2, 2.0.0 - US Realm CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQMs) Content Package IG Release 1, US Realm. This IG contains the ACH Monthly and Daily dQMs based on FHIR R4, US Core 3.1.1, QI Core 4.1.1, Quality Measure IG 3.0.0, CQF Common FHIR Assets 4.0.1, and DEQM 3.1.0

RelatedIgs

(None Found)

This is not the first publication, so first must not be true
Publication Request is for v'2.0.0' but package version is v2.0.0-cibuild
Publication request category found (not allowed after first publication
Publication request title found (not allowed after first publication)
Publication request introduction found (not allowed after first publication)
Publication request ci-build found (not allowed after first publication)

Supressed Messages:

41 Suppressed Issues

Dependency Checks:

Package	Version	FHIR	Canonical	Web Base	Comment
gov.cdc.nhsn.measures	2.0.0-cibuild	R4	http://www.cdc.gov/nhsn/fhirportal/dqm/ig
hl7.terminology.r4	6.5.0 M	R4	http://terminology.hl7.org	http://terminology.hl7.org/6.5.0
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.uv.extensions.r4	5.2.0 M	R4	http://hl7.org/fhir/extensions	http://hl7.org/fhir/extensions/5.2.0	(as above)
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 M	R4	http://terminology.hl7.org	http://terminology.hl7.org/6.5.0	(as above)
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 8.0.0
hl7.terminology.r4	5.0.0 O	R4	http://terminology.hl7.org	http://terminology.hl7.org/5.0.0	Latest Release is 6.5.0
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 O	R4	http://terminology.hl7.org	http://terminology.hl7.org/5.0.0	(as above). Latest Release is 6.5.0
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 0.23.0
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 1.4.0
fhir.cqf.common	4.0.1 M	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 M	R4	http://hl7.org/fhir/uv/crmi	http://hl7.org/fhir/uv/crmi/STU1
hl7.terminology	5.5.0 O	R4	http://terminology.hl7.org	http://terminology.hl7.org/5.5.0	Latest Release is 6.5.0
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 5.2.0
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 5.2.0
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 6.5.0
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 5.2.0
hl7.fhir.uv.crmi	1.0.0 M	R4	http://hl7.org/fhir/uv/crmi	http://hl7.org/fhir/uv/crmi/STU1	(as above)
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 6.5.0
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 5.2.0
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 M	R4	http://hl7.org/fhir/extensions	http://hl7.org/fhir/extensions/5.2.0	(as above)
hl7.terminology.r4	6.3.0 O	R4	http://terminology.hl7.org	http://terminology.hl7.org/6.3.0	Latest Release is 6.5.0
hl7.fhir.uv.extensions.r4	5.2.0 M	R4	http://hl7.org/fhir/extensions	http://hl7.org/fhir/extensions/5.2.0	(as above)
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 0.23.0
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 7.0.1
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 5.2.0
hl7.fhir.us.core	6.1.0 O	R4	http://hl7.org/fhir/us/core	http://hl7.org/fhir/us/core/STU6.1	(as above). Latest Release is 8.0.0
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 6.5.0
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 5.2.0
hl7.fhir.us.core	6.1.0 O	R4	http://hl7.org/fhir/us/core	http://hl7.org/fhir/us/core/STU6.1	(as above). Latest Release is 8.0.0
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 M	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 7.0.1
hl7.fhir.uv.extensions.r4	5.2.0 M	R4	http://hl7.org/fhir/extensions	http://hl7.org/fhir/extensions/5.2.0	(as above)
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 8.0.0
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 8.0.0
fhir.cqf.common	4.0.1 M	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 M	R4	http://hl7.org/fhir/uv/crmi	http://hl7.org/fhir/uv/crmi/STU1	(as above)
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 7.0.1
hl7.fhir.uv.tools.r4	0.8.0 M	R4	http://hl7.org/fhir/tools	http://hl7.org/fhir/tools/0.8.0	Internal Dependency

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):

http://tx.fhir.org/r4, https://tx.fhir.org/r4 (details)

HTA Analysis:

Non-HL7 Igs are exempt from terminology dependency analysis

R5 Dependencies:

Draft Dependencies:

fhir.cqf.common#4.0.1: CQFCommon (1 uses)
hl7.fhir.r4.core#4.0.1: GuideParameterCode (19 uses), CommonTags (35 uses), CommonLanguages (40 uses), DiagnosticServiceSectionCodes (5 uses), Encounter (43 uses), Practitioner (31 uses), PractitionerRole (33 uses), Organization (29 uses), CareTeam (12 uses), Specimen (14 uses), ImagingStudy (12 uses), Media (9 uses), SNOMEDCTClinicalFindings (3 uses), EncounterStatus (4 uses), ServiceType (3 uses), EpisodeOfCare (6 uses), ServiceRequest (38 uses), ParticipantType (3 uses), Appointment (3 uses), EncounterReasonCodes (3 uses), Condition (16 uses), Procedure (20 uses), DiagnosisRole (3 uses), Account (3 uses), AdmitSource (3 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 (23 uses), MedicationAdministration Status Codes (3 uses), SNOMEDCTReasonMedicationNotGivenCodes (6 uses), MedicationAdministration Category Codes (6 uses), Medication (11 uses), SNOMEDCTMedicationCodes (3 uses), MedicationAdministration Performer Function Codes (3 uses), RelatedPerson (22 uses), Device (30 uses), ReasonMedicationGivenCodes (3 uses), SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (6 uses), SNOMEDCTRouteCodes (10 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 (12 uses), MedicationRequest (21 uses), ImmunizationRecommendation (10 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 (6 uses), NutritionOrder (7 uses), MedicationDispense (6 uses), MedicationStatement (6 uses), Immunization (6 uses), ObservationCategoryCodes (7 uses), SNOMEDCTBodyStructures (20 uses), ObservationMethods (12 uses), DeviceMetric (6 uses), ObservationReferenceRangeMeaningCodes (8 uses), ObservationReferenceRangeAppliesToCodes (8 uses), QuestionnaireResponse (10 uses), MolecularSequence (12 uses), DocumentReference (8 uses), LOINCCodes (14 uses), PlanDefinition (4 uses), ActivityDefinition (4 uses), Measure (2 uses), Questionnaire (2 uses), EventStatus (2 uses), ProcedureCategoryCodes(SNOMEDCT) (2 uses), Location (11 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), Substance (8 uses), FHIRDeviceTypes (2 uses), RequestStatus (2 uses), RequestIntent (2 uses), ServiceRequestCategoryCodes (4 uses), ProcedureCodes(SNOMEDCT) (4 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), Group (4 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 (6 uses), VitalSignsUnits (2 uses), List (3 uses), ListStatus (1 uses), ListMode (1 uses), ExampleUseCodesForList (1 uses), ListOrderCodes (1 uses), PatientMedicineChangeTypes (1 uses), ListEmptyReasons (1 uses), MeasureReport (2 uses), MeasureReportStatus (1 uses), MeasureReportType (1 uses), MeasureImprovementNotation (1 uses), MeasurePopulationType (2 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#5.2.0: SDStatusDerivation (122 uses), TypeMustSupport (77 uses), SDcompliesWithProfile (2 uses), CQFCQLOptions (5 uses)
hl7.terminology.r4#6.5.0: MedicationRequestCategoryCodes (102 uses), DoseAndRateType (24 uses)

Modifier Extensions:

(none)

Previous Version Comparison:

Comparison with version 1.0.0

IPA Comparison:

n/a

IPS Comparison:

n/a

Validation Flags:

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

Summary:

errors = 8, warn = 20, info = 246, broken links = 0, pinned = 192 (when multiples).

Filename	Errors	Warnings	Hints
Build Errors	0	3	0
/home/vsts/work/1/s/fsh-generated/resources/Bundle-bundle-example-ltc-monthly-full	2	2	6
/home/vsts/work/1/s/fsh-generated/resources/Bundle-bundle-example-ltc-monthly-header	2	0	3
/home/vsts/work/1/s/fsh-generated/resources/Bundle-bundle-example-ltc-monthly-subject-pneumonia	0	1	0
/home/vsts/work/1/s/fsh-generated/resources/Bundle-bundle-example-ltc-monthly-subject-uti	0	1	1
/home/vsts/work/1/s/fsh-generated/resources/Encounter-encounter-example-ltc-monthly-pneumonia-2	0	1	0
/home/vsts/work/1/s/fsh-generated/resources/Encounter-encounter-example-ltc-monthly-uti	0	1	0
/home/vsts/work/1/s/fsh-generated/resources/ImplementationGuide-gov.cdc.nhsn.measures	1	0	0
/home/vsts/work/1/s/fsh-generated/resources/MeasureReport-measurereport-example-ltc-monthly-subjectlist	1	0	1
/home/vsts/work/1/s/fsh-generated/resources/StructureDefinition-ach-daily-medicationadministration	0	2	2
/home/vsts/work/1/s/fsh-generated/resources/StructureDefinition-ach-monthly-condition	0	1	2
/home/vsts/work/1/s/fsh-generated/resources/StructureDefinition-ach-monthly-medicationadministration	0	2	2
/home/vsts/work/1/s/fsh-generated/resources/StructureDefinition-ltc-monthly-medicationadministration	0	2	2
/home/vsts/work/1/s/input/resources/library/NHSNAcuteCareHospitalMonthlyInitialPopulation	0	1	1
/home/vsts/work/1/s/input/resources/measure/measure-NHSNAcuteCareHospitalDailyInitialPopulation	0	1	21
/home/vsts/work/1/s/input/resources/measure/measure-NHSNAcuteCareHospitalMonthlyInitialPopulation	0	2	2
/home/vsts/work/1/s/input/resources/measure/measure-NHSNLongTermCareMonthlyInitialPopulation	2	0	2

n/a Show Validation Information

warning

Unable to find ImplementationGuide.definition.resource.description for the resource Library/NHSNLongTermCareMonthlyInitialPopulation. Descriptions are strongly encouraged if they cannot be inferred from the resource to allow proper population of the artifact list.

output/Measure-NHSNAcuteCareHospitalDailyInitialPopulation.html

warning

The html source has duplicate anchor Ids: fhirhelpers-todatetime,fhirhelpers-tostring,nhsnacutecarehospitaldailyinitialpopulation-references

output/Measure-NHSNAcuteCareHospitalMonthlyInitialPopulation.html

warning

The html source has duplicate anchor Ids: fhirhelpers-tostring

fsh-generated/resources/Bundle-bundle-example-ltc-monthly-full.json Show Validation Information (112)

Path

Severity

Message

Bundle.entry[3] (l141/c6)

Slicing Information

This element does not match any known slice defined in the profile http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-measurereport-bundle|2.0.0-cibuild (this may not be a problem, but you should check that it's not intended to match a slice) Show Reasoning

This element does not match any known slice Defined in the profile http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-measurereport-bundle|2.0.0-cibuild (this may not be a problem, but you should check that it's not intended to match a slice)

Bundle.entry[3]: discriminator = true and (resource is Organization) and resource.conformsTo('http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-organization')
Bundle.entry[3]: discriminator = true and (resource is Device) and resource.conformsTo('http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-device')
Bundle.entry[3]: discriminator = true and (resource is List) and resource.conformsTo('http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/poi-list')
Bundle.entry[3]: discriminator = true and (resource is MeasureReport) and resource.conformsTo('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/subjectlist-measurereport-deqm')
Bundle.entry[3]: Profile http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/subjectlist-measurereport-deqm does not match for Bundle because of the following profile issues:
- Bundle.entry[3].resource: Constraint failed: subjectlist-measurereport-population-count-matches: 'SubjectList MeasureReport: group population count matches number of entries in Subject List entries' (defined in http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport)
Bundle.entry[3]: discriminator = true and (resource is List) and resource.conformsTo('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-list')
Bundle.entry[3]: discriminator = true and (resource is MeasureReport) and resource.conformsTo('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm')
Bundle.entry[3]: Profile http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm does not match for Bundle because of the following profile issues:
- Bundle.entry[3].resource: MeasureReport.subject: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|5.0.0)
- Bundle.entry[3].resource.type: Value is 'subject-list' but is fixed to 'individual' in the profile http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|5.0.0#MeasureReport.type
- Bundle.entry[3].resource.group[0].population[0]: MeasureReport.group.population.subjectResults: max allowed = 0, but found 1 (from http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|5.0.0)
- Bundle.entry[3].resource: Constraint failed: subjectlist-measurereport-population-count-matches: 'SubjectList MeasureReport: group population count matches number of entries in Subject List entries' (defined in http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport)
Bundle.entry[3]: discriminator = true and (resource is Patient) and resource.conformsTo('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient')
Bundle.entry[3]: discriminator = true and (resource is Encounter)
Bundle.entry[3]: discriminator = true and (resource is Location)
Bundle.entry[3]: discriminator = true and (resource is Coverage)
Bundle.entry[3]: discriminator = true and (resource is Condition)
Bundle.entry[3]: discriminator = true and (resource is Procedure)
Bundle.entry[3]: discriminator = true and (resource is ServiceRequest)
Bundle.entry[3]: discriminator = true and (resource is DiagnosticReport)
Bundle.entry[3]: discriminator = true and (resource is Observation)
Bundle.entry[3]: discriminator = true and (resource is Specimen)
Bundle.entry[3]: discriminator = true and (resource is MedicationAdministration)
Bundle.entry[3]: discriminator = true and (resource is MedicationRequest)
Bundle.entry[3]: discriminator = true and (resource is Medication)
Bundle.entry[3]: discriminator = true and (resource is Device) and resource.conformsTo('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device')

Details_for__matching_against_Profile_

Bundle.entry[9] (l847/c6)

Slicing Information

Bundle.entry[9]: discriminator = true and (resource is Organization) and resource.conformsTo('http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-organization')
Bundle.entry[9]: Profile http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-organization does not match for Bundle because of the following profile issues:
- Bundle.entry[9].resource: Organization.identifier: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-organization|1.0.0)
- Bundle.entry[9].resource: Slice 'Organization.identifier:nhsn_org_id': a matching slice is required, but not found (from http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-organization|1.0.0). Note that other slices are allowed in addition to this required slice
Bundle.entry[9]: discriminator = true and (resource is Device) and resource.conformsTo('http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-device')
Bundle.entry[9]: discriminator = true and (resource is List) and resource.conformsTo('http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/poi-list')
Bundle.entry[9]: discriminator = true and (resource is MeasureReport) and resource.conformsTo('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/subjectlist-measurereport-deqm')
Bundle.entry[9]: discriminator = true and (resource is List) and resource.conformsTo('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-list')
Bundle.entry[9]: discriminator = true and (resource is MeasureReport) and resource.conformsTo('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm')
Bundle.entry[9]: discriminator = true and (resource is Patient) and resource.conformsTo('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient')
Bundle.entry[9]: discriminator = true and (resource is Encounter)
Bundle.entry[9]: discriminator = true and (resource is Location)
Bundle.entry[9]: discriminator = true and (resource is Coverage)
Bundle.entry[9]: discriminator = true and (resource is Condition)
Bundle.entry[9]: discriminator = true and (resource is Procedure)
Bundle.entry[9]: discriminator = true and (resource is ServiceRequest)
Bundle.entry[9]: discriminator = true and (resource is DiagnosticReport)
Bundle.entry[9]: discriminator = true and (resource is Observation)
Bundle.entry[9]: discriminator = true and (resource is Specimen)
Bundle.entry[9]: discriminator = true and (resource is MedicationAdministration)
Bundle.entry[9]: discriminator = true and (resource is MedicationRequest)
Bundle.entry[9]: discriminator = true and (resource is Medication)
Bundle.entry[9]: discriminator = true and (resource is Device) and resource.conformsTo('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device')

Details_for__matching_against_Profile_

Bundle.entry[23] (l1936/c6)

Slicing Information

Bundle.entry[23]: discriminator = true and (resource is Organization) and resource.conformsTo('http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-organization')
Bundle.entry[23]: Profile http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-organization does not match for Bundle because of the following profile issues:
- Bundle.entry[23].resource: Organization.identifier: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-organization|1.0.0)
- Bundle.entry[23].resource: Slice 'Organization.identifier:nhsn_org_id': a matching slice is required, but not found (from http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-organization|1.0.0). Note that other slices are allowed in addition to this required slice
Bundle.entry[23]: discriminator = true and (resource is Device) and resource.conformsTo('http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-device')
Bundle.entry[23]: discriminator = true and (resource is List) and resource.conformsTo('http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/poi-list')
Bundle.entry[23]: discriminator = true and (resource is MeasureReport) and resource.conformsTo('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/subjectlist-measurereport-deqm')
Bundle.entry[23]: discriminator = true and (resource is List) and resource.conformsTo('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-list')
Bundle.entry[23]: discriminator = true and (resource is MeasureReport) and resource.conformsTo('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm')
Bundle.entry[23]: discriminator = true and (resource is Patient) and resource.conformsTo('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient')
Bundle.entry[23]: discriminator = true and (resource is Encounter)
Bundle.entry[23]: discriminator = true and (resource is Location)
Bundle.entry[23]: discriminator = true and (resource is Coverage)
Bundle.entry[23]: discriminator = true and (resource is Condition)
Bundle.entry[23]: discriminator = true and (resource is Procedure)
Bundle.entry[23]: discriminator = true and (resource is ServiceRequest)
Bundle.entry[23]: discriminator = true and (resource is DiagnosticReport)
Bundle.entry[23]: discriminator = true and (resource is Observation)
Bundle.entry[23]: discriminator = true and (resource is Specimen)
Bundle.entry[23]: discriminator = true and (resource is MedicationAdministration)
Bundle.entry[23]: discriminator = true and (resource is MedicationRequest)
Bundle.entry[23]: discriminator = true and (resource is Medication)
Bundle.entry[23]: discriminator = true and (resource is Device) and resource.conformsTo('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device')

Details_for__matching_against_Profile_

Bundle (l1/c2)

error

Slice 'Bundle.entry:subjectlist-measurereport': a matching slice is required, but not found (from http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-measurereport-bundle|2.0.0-cibuild). Note that other slices are allowed in addition to this required slice Validation_VAL_Profile_Minimum_SLICE

Bundle.entry[3].resource/*MeasureReport/measurereport-example-ltc-monthly-subjectlist*/.group[0].population[0] (l161/c16)

information

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

Bundle.entry[3].resource (l143/c8)

error

Constraint failed: subjectlist-measurereport-population-count-matches: 'SubjectList MeasureReport: group population count matches number of entries in Subject List entries' (defined in http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport) http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport#subjectlist-measurereport-population-count-matches

Bundle.entry[7].resource/*Encounter/encounter-example-ltc-monthly-pneumonia-2*/ (l679/c8)

warning

Constraint failed: encounter-location-type-initial-population: 'Encounter: references at least one Location where type is from 'Inpatient, Emergency, and Observation Locations'' (defined in http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ltc-monthly-encounter) http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ltc-monthly-encounter#encounter-location-type-initial-population

Bundle.entry[21].resource/*Encounter/encounter-example-ltc-monthly-uti*/ (l1768/c8)

warning

Bundle.entry[30].resource/*ServiceRequest/servicerequest-example-ltc-monthly-uti-urinalysis*/.category[0] (l2423/c12)

information

Reference to draft ValueSet http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1 (from https://tx.fhir.org/r4, see log, or see the servers logic) MSG_DRAFT

0 0 : start
63 63: tx-op
63 0: 0ms http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|6.1.0: Analysing
63 0: 0ms http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|6.1.0: Parameters: disp-lang=en-US, default-to-latest
63 0: 0ms http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|6.1.0: Version Rules: http://snomed.info/sct#http://snomed.info/sct/731000124108/0
63 0: 0ms http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|6.1.0: CodeSystem found: "http://hl7.org/fhir/us/core/CodeSystem/us-core-category|6.1.0"
63 0: 0ms http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|6.1.0: CodeSystem found: "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250301"
63 0: tx-op
63 0: 0ms http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1: Analysing
63 0: 0ms http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1: Parameters: disp-lang=en-US, default-to-latest
63 0: 0ms http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1: Version Rules: http://snomed.info/sct#http://snomed.info/sct/731000124108/0
63 0: 0ms http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1: CodeSystem found: "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250301"
63 0: 0ms http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|6.1.0: Validate "[http://snomed.info/sct#108252007 ("Laboratory procedure")]"
63 0: 0ms http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|6.1.0: Check "http://snomed.info/sct#108252007"
63 0: 0ms http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|6.1.0: CodeSystem found: http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250301 for http://snomed.info/sct|http://snomed.info/sct/731000124108
63 0: 0ms http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|6.1.0: Check included value set http://hl7.org/fhir/ValueSet/servicerequest-category
63 0: 0ms http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1: Check "http://snomed.info/sct#108252007"
63 0: 0ms http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1: CodeSystem found: http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250301 for http://snomed.info/sct|http://snomed.info/sct/731000124108
63 0: 0ms http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1: Code "108252007" found in http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250301

Bundle.entry[3].resource.group[0].population[0] (l161/c16)

information

fsh-generated/resources/Bundle-bundle-example-ltc-monthly-header.json Show Validation Information (17)

Path

Severity

Message

Bundle.entry[3] (l141/c6)

Slicing Information

This element does not match any known slice defined in the profile http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submission-header-bundle|2.0.0-cibuild (this may not be a problem, but you should check that it's not intended to match a slice) Show Reasoning

This element does not match any known slice Defined in the profile http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submission-header-bundle|2.0.0-cibuild (this may not be a problem, but you should check that it's not intended to match a slice)

Bundle.entry[3]: discriminator = true and resource.conformsTo('http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-organization')
Bundle.entry[3]: Profile http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-organization does not match for Bundle because of the following profile issues:
- Bundle.entry[3].resource: Specified profile type was 'Organization' in profile 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-organization|1.0.0', but found type 'MeasureReport'
Bundle.entry[3]: discriminator = true and resource.conformsTo('http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-device')
Bundle.entry[3]: Profile http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-device does not match for Bundle because of the following profile issues:
- Bundle.entry[3].resource: Specified profile type was 'Device' in profile 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/nhsn-submitting-device|1.0.0', but found type 'MeasureReport'
Bundle.entry[3]: discriminator = true and resource.conformsTo('http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/poi-list')
Bundle.entry[3]: Profile http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/poi-list does not match for Bundle because of the following profile issues:
- Bundle.entry[3].resource: Specified profile type was 'List' in profile 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/poi-list|1.0.0', but found type 'MeasureReport'
Bundle.entry[3]: discriminator = true and resource.conformsTo('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport')
Bundle.entry[3]: Profile http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport does not match for Bundle because of the following profile issues:
- Bundle.entry[3].resource: Constraint failed: subjectlist-measurereport-population-count-matches: 'SubjectList MeasureReport: group population count matches number of entries in Subject List entries' (defined in http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport)

Details_for__matching_against_Profile_

Bundle (l1/c2)

error

Slice 'Bundle.entry:subjectlist-measurereport': a matching slice is required, but not found (from http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submission-header-bundle|2.0.0-cibuild). Note that other slices are allowed in addition to this required slice Validation_VAL_Profile_Minimum_SLICE

Bundle.entry[3].resource/*MeasureReport/measurereport-example-ltc-monthly-subjectlist*/.group[0].population[0] (l161/c16)

information

Bundle.entry[3].resource (l143/c8)

error

Bundle.entry[3].resource.group[0].population[0] (l161/c16)

information

fsh-generated/resources/Bundle-bundle-example-ltc-monthly-subject-pneumonia.json Show Validation Information (39)

Path

Severity

Message

Bundle.entry[3].resource/*Encounter/encounter-example-ltc-monthly-pneumonia-2*/ (l466/c8)

warning

fsh-generated/resources/Bundle-bundle-example-ltc-monthly-subject-uti.json Show Validation Information (44)

Path

Severity

Message

Bundle.entry[2].resource/*Encounter/encounter-example-ltc-monthly-uti*/ (l433/c8)

warning

Bundle.entry[10].resource/*ServiceRequest/servicerequest-example-ltc-monthly-uti-urinalysis*/.category[0] (l1074/c12)

information

Reference to draft ValueSet http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1 (from https://tx.fhir.org/r4, see log, or see the servers logic) MSG_DRAFT

0 0 : start
63 63: tx-op
63 0: 0ms http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|6.1.0: Analysing
63 0: 0ms http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|6.1.0: Parameters: disp-lang=en-US, default-to-latest
63 0: 0ms http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|6.1.0: Version Rules: http://snomed.info/sct#http://snomed.info/sct/731000124108/0
63 0: 0ms http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|6.1.0: CodeSystem found: "http://hl7.org/fhir/us/core/CodeSystem/us-core-category|6.1.0"
63 0: 0ms http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|6.1.0: CodeSystem found: "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250301"
63 0: tx-op
63 0: 0ms http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1: Analysing
63 0: 0ms http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1: Parameters: disp-lang=en-US, default-to-latest
63 0: 0ms http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1: Version Rules: http://snomed.info/sct#http://snomed.info/sct/731000124108/0
63 0: 0ms http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1: CodeSystem found: "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250301"
63 0: 0ms http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|6.1.0: Validate "[http://snomed.info/sct#108252007 ("Laboratory procedure")]"
63 0: 0ms http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|6.1.0: Check "http://snomed.info/sct#108252007"
63 0: 0ms http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|6.1.0: CodeSystem found: http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250301 for http://snomed.info/sct|http://snomed.info/sct/731000124108
63 0: 0ms http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|6.1.0: Check included value set http://hl7.org/fhir/ValueSet/servicerequest-category
63 0: 0ms http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1: Check "http://snomed.info/sct#108252007"
63 0: 0ms http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1: CodeSystem found: http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250301 for http://snomed.info/sct|http://snomed.info/sct/731000124108
63 0: 0ms http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1: Code "108252007" found in http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250301

fsh-generated/resources/Encounter-encounter-example-ltc-monthly-pneumonia-2.json Show Validation Information (1)

Path

Severity

Message

Encounter (l1/c2)

warning

fsh-generated/resources/Encounter-encounter-example-ltc-monthly-uti.json Show Validation Information (1)

Path

Severity

Message

Encounter (l1/c2)

warning

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

Path

Severity

Message

ImplementationGuide.definition.extension[44].url (l1/c12100)

error

No definition could be found for URL value 'http://hl7.org/fhir/tools/StructureDefinition/expansion-parameters' Type_Specific_Checks_DT_URL_Resolve

fsh-generated/resources/MeasureReport-measurereport-example-ltc-monthly-subjectlist.json Show Validation Information (4)

Path

Severity

Message

MeasureReport (l1/c2)

error

MeasureReport.group[0].population[0] (l19/c10)

information

fsh-generated/resources/StructureDefinition-ach-daily-medicationadministration.json Show Validation Information (1)

Path

Severity

Message

StructureDefinition.snapshot.element[25].binding.valueSet

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 to 20240606 from choices of 20170601 (us.nlm.vsac#0.11.0), 20240606 (us.nlm.vsac#0.22.0) PIN_VERSION

StructureDefinition.differential.element[7].binding.valueSet

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 to 20240606 from choices of 20170601 (us.nlm.vsac#0.11.0), 20240606 (us.nlm.vsac#0.22.0) PIN_VERSION

StructureDefinition.snapshot (l1/c190689)

warning

The slice 'medicationCodeableConcept' on path 'MedicationAdministration.medication[x]' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true

StructureDefinition.snapshot (l1/c190689)

warning

The slice 'medicationReference' on path 'MedicationAdministration.medication[x]' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true

fsh-generated/resources/StructureDefinition-ach-monthly-condition.json Show Validation Information (1)

Path

Severity

Message

StructureDefinition.snapshot.element[17].type[0].profile[0]

information

Pinned the version of http://hl7.org/fhir/StructureDefinition/condition-assertedDate to 5.2.0 from choices of 1.0.0 (hl7.fhir.uv.extensions.r4#1.0.0), 4.0.1 (hl7.fhir.r4.core#4.0.1), 5.1.0 (hl7.fhir.uv.extensions.r4#5.1.0), 5.2.0 (hl7.fhir.uv.extensions.r4#5.2.0) PIN_VERSION

StructureDefinition.differential.element[4].type[0].profile[0]

information

StructureDefinition

warning

The validator cannot confirm that this profile complies with the claimed profile 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition|3.1.1' Show Reasoning SD_EXTENSION_COMPLIES_WITH_WARNING

fsh-generated/resources/StructureDefinition-ach-monthly-medicationadministration.json Show Validation Information (1)

Path

Severity

Message

StructureDefinition.snapshot.element[25].binding.valueSet

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 to 20240606 from choices of 20170601 (us.nlm.vsac#0.11.0), 20240606 (us.nlm.vsac#0.22.0) PIN_VERSION

StructureDefinition.differential.element[7].binding.valueSet

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 to 20240606 from choices of 20170601 (us.nlm.vsac#0.11.0), 20240606 (us.nlm.vsac#0.22.0) PIN_VERSION

StructureDefinition.snapshot (l1/c193629)

warning

StructureDefinition.snapshot (l1/c193629)

warning

fsh-generated/resources/StructureDefinition-ltc-monthly-medicationadministration.json Show Validation Information (1)

Path

Severity

Message

StructureDefinition.snapshot.element[25].binding.valueSet

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 to 20240606 from choices of 20170601 (us.nlm.vsac#0.11.0), 20240606 (us.nlm.vsac#0.22.0) PIN_VERSION

StructureDefinition.differential.element[7].binding.valueSet

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 to 20240606 from choices of 20170601 (us.nlm.vsac#0.11.0), 20240606 (us.nlm.vsac#0.22.0) PIN_VERSION

StructureDefinition.snapshot (l1/c181445)

warning

StructureDefinition.snapshot (l1/c181445)

warning

input/resources/library/NHSNAcuteCareHospitalMonthlyInitialPopulation.json Show Validation Information (2)

Path

Severity

Message

Library.relatedArtifact[9].resource

information

Pinned the version of http://hl7.org/fhir/us/core/CodeSystem/condition-category to 6.1.0 from choices of 3.1.1 (hl7.fhir.us.core#3.1.1), 6.1.0 (hl7.fhir.us.core#6.1.0) PIN_VERSION

Library.relatedArtifact[11].resource (l1/c3344)

warning

A definition could not be found for Canonical URL 'http://www.snomed.org/' TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE

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

Path

Severity

Message

Measure.contained[0].relatedArtifact[10].resource

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1142 to 20250218 from choices of 20230125 (us.nlm.vsac#0.11.0), 20250218 (us.nlm.vsac#0.22.0) PIN_VERSION

Measure.contained[0].relatedArtifact[11].resource

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1158 to 20240123 from choices of 20210528 (us.nlm.vsac#0.11.0), 20240123 (us.nlm.vsac#0.22.0) PIN_VERSION

Measure.contained[0].relatedArtifact[12].resource

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.336 to 20250218 from choices of 20230602 (us.nlm.vsac#0.11.0), 20250218 (us.nlm.vsac#0.22.0) PIN_VERSION

Measure.contained[0].relatedArtifact[14].resource

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1312 to 20250218 from choices of 20210120 (us.nlm.vsac#0.11.0), 20250218 (us.nlm.vsac#0.22.0) PIN_VERSION

Measure.contained[0].relatedArtifact[36].resource

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.10.20.22.5.300 to 20240607 from choices of 20190425 (us.nlm.vsac#0.11.0), 20240607 (us.nlm.vsac#0.22.0) PIN_VERSION

Measure.contained[0].dataRequirement[6].codeFilter[0].valueSet

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1142 to 20250218 from choices of 20230125 (us.nlm.vsac#0.11.0), 20250218 (us.nlm.vsac#0.22.0) PIN_VERSION

Measure.contained[0].dataRequirement[7].codeFilter[0].valueSet

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1158 to 20240123 from choices of 20210528 (us.nlm.vsac#0.11.0), 20240123 (us.nlm.vsac#0.22.0) PIN_VERSION

Measure.contained[0].dataRequirement[8].codeFilter[0].valueSet

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.336 to 20250218 from choices of 20230602 (us.nlm.vsac#0.11.0), 20250218 (us.nlm.vsac#0.22.0) PIN_VERSION

Measure.contained[0].dataRequirement[10].codeFilter[0].valueSet

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1312 to 20250218 from choices of 20210120 (us.nlm.vsac#0.11.0), 20250218 (us.nlm.vsac#0.22.0) PIN_VERSION

Measure.contained[0].dataRequirement[13].codeFilter[0].valueSet

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1312 to 20250218 from choices of 20210120 (us.nlm.vsac#0.11.0), 20250218 (us.nlm.vsac#0.22.0) PIN_VERSION

Measure.contained[0].dataRequirement[15].codeFilter[0].valueSet

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.336 to 20250218 from choices of 20230602 (us.nlm.vsac#0.11.0), 20250218 (us.nlm.vsac#0.22.0) PIN_VERSION

Measure.contained[0].dataRequirement[17].codeFilter[0].valueSet

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1142 to 20250218 from choices of 20230125 (us.nlm.vsac#0.11.0), 20250218 (us.nlm.vsac#0.22.0) PIN_VERSION

Measure.contained[0].dataRequirement[18].codeFilter[0].valueSet

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1158 to 20240123 from choices of 20210528 (us.nlm.vsac#0.11.0), 20240123 (us.nlm.vsac#0.22.0) PIN_VERSION

Measure.contained[0].dataRequirement[21].codeFilter[0].valueSet

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1142 to 20250218 from choices of 20230125 (us.nlm.vsac#0.11.0), 20250218 (us.nlm.vsac#0.22.0) PIN_VERSION

Measure.contained[0].dataRequirement[22].codeFilter[0].valueSet

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1158 to 20240123 from choices of 20210528 (us.nlm.vsac#0.11.0), 20240123 (us.nlm.vsac#0.22.0) PIN_VERSION

Measure.contained[0].dataRequirement[23].codeFilter[0].valueSet

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.336 to 20250218 from choices of 20230602 (us.nlm.vsac#0.11.0), 20250218 (us.nlm.vsac#0.22.0) PIN_VERSION

Measure.contained[0].dataRequirement[25].codeFilter[0].valueSet

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1312 to 20250218 from choices of 20210120 (us.nlm.vsac#0.11.0), 20250218 (us.nlm.vsac#0.22.0) PIN_VERSION

Measure.contained[0].dataRequirement[29].codeFilter[0].valueSet

information

Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.10.20.22.5.300 to 20240607 from choices of 20190425 (us.nlm.vsac#0.11.0), 20240607 (us.nlm.vsac#0.22.0) PIN_VERSION

Measure.extension[2] (l1/c102784)

Slicing Information

This element does not match any known slice defined in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cohort-measure-cqfm|4.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) Show Reasoning Details_for__matching_against_Profile_

Measure.text.div

warning

The XHTML the resource contains more than one node for each of the following node ids and anchor names: fhirhelpers-todatetime (2x), fhirhelpers-tostring (8x), nhsnacutecarehospitaldailyinitialpopulation-references (2x) XHTML_XHTML_DUPLICATE_IDS

Measure.contained[0]/*Library/effective-data-requirements*/.extension[87].extension[2].value.ofType(string) (l1/c57363)

information

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 SECURITY_STRING_CONTENT_WARNING

Measure.extension[2] (l1/c102784)

Slicing Information

This element does not match any known slice defined in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm|4.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) Show Reasoning Details_for__matching_against_Profile_

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

Path

Severity

Message

Measure.extension[2] (l1/c75185)

Slicing Information

Measure.text.div

warning

The XHTML the resource contains more than one node for each of the following node ids and anchor names: fhirhelpers-tostring (3x) XHTML_XHTML_DUPLICATE_IDS

Measure.contained[0]/*Library/effective-data-requirements*/.extension[5].value.ofType(Coding) (l1/c1496)

warning

The concept '103693007' has a status of inactive and its use should be reviewed (from https://tx.fhir.org/r4, see log, or see the servers logic) INACTIVE_CONCEPT_FOUND

0 0 : start
0 0: tx-op
0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing
0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=en-US, default-to-latest
0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Version Rules: http://snomed.info/sct#http://snomed.info/sct/731000124108/0
0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate "[http://snomed.info/sct#103693007 ("Diagnostic procedure")]"
0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check "http://snomed.info/sct#103693007"
0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250301" (content = complete)

Measure.extension[2] (l1/c75185)

Slicing Information

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

Path

Severity

Message

Measure.extension[1] (l1/c34866)

Slicing Information

Measure.extension[1] (l1/c34866)

error

The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem could not be found so is not allowed here Extension_EXT_Unknown_NotHere

Measure.extension[1].url (l1/c34813)

error

No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem' Type_Specific_Checks_DT_URL_Resolve

Measure.extension[1] (l1/c34866)

Slicing Information

Suppressed Messages (Warnings, hints, broken links)

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)

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/condition-ver-status|4.0.1 from hl7.fhir.r4.core#4.0.1 (0 uses)
Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/dose-rate-type|1.0.0 (24 uses)
Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/medicationrequest-category|1.0.0 (36 uses)

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)

Errors caused by underlying specifications

Details for #list-example-ach-daily-individual-measurereport-list matching against profile http://hl7.org/fhir/StructureDefinition/List|4.0.1 (0 uses)
Details for #list-example-ach-daily-individual-measurereport-list matching against profile http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ip-measurereport-list|1.0.0 (0 uses)
Details for #list-example-ach-monthly-individual-measurereport-list matching against profile http://hl7.org/fhir/StructureDefinition/List|4.0.1 (0 uses)
Details for #list-example-ach-monthly-individual-measurereport-list matching against profile http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ip-measurereport-list|1.0.0 (0 uses)
Details for MeasureReport/measurereport-example-individual-ach-monthly-pass1 matching against profile http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0 (0 uses)
Details for MeasureReport/measurereport-example-individual-ach-monthly-pass2 matching against profile http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0 (0 uses)
Details for MeasureReport/measurereport-example-individual-ach-monthly-pass3 matching against profile http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0 (0 uses)
Slice 'MeasureReport.contained:ip-measurereport-list': a matching slice is required, but not found (from http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport|1.0.0). Note that other slices are allowed in addition to this required slice (0 uses)
This element does not match any known slice defined in the profile http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport|1.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (0 uses)
Unable to find a profile match for #list-example-ach-daily-individual-measurereport-list among choices: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ip-measurereport-list (0 uses)
Unable to find a profile match for #list-example-ach-monthly-individual-measurereport-list among choices: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ip-measurereport-list (0 uses)
Unable to find a profile match for MeasureReport/measurereport-example-individual-ach-monthly-pass1 among choices: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm (0 uses)
Unable to find a profile match for MeasureReport/measurereport-example-individual-ach-monthly-pass2 among choices: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm (0 uses)
Unable to find a profile match for MeasureReport/measurereport-example-individual-ach-monthly-pass3 among choices: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm (0 uses)

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)

INFORMATION: Notice where contained subject list resource cannot be processed

Unable to check the stated count 1 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) (0 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) (5 uses)

INFORMATION: maxValueSet is used by tooling for R4.

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

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 (91 uses)

Pinned versions of VS/CS via pin-canonicals parameter

%Pinned the version of http://terminology.hl7.org/% (36 uses)

Slices for supplemental data extension not defined for clinical data.

This element does not match any known slice defined in the profile http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|5.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (0 uses)

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)

WARNING: Descriptive URLs are not expected to resolve

%URL value 'urn:oid:% (276 uses)
No definition could be found for URL value 'https://nhsnlink.org' (18 uses)
No definition could be found for URL value 'https://www.cdc.gov/nhsn/OrgID' (13 uses)

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)

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 8.0.0. This reference is getting old and the more recent version should be considered (1 uses)
The ImplementationGuide uses package hl7.fhir.us.qicore#6.0.0 released on 2024-03-01, but the most recent appropriate version is 7.0.1. This reference is getting old and the more recent version should be considered (1 uses)

Errors sorted by type

Details_for__matching_against_Profile_

fsh-generated/resources/Bundle-bundle-example-ach-daily-full.json

This element does not match any known slice defined in the profile http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-medication|2.0.0-cibuild (this may not be a problem, but you should check that it's not intended to match a slice)

fsh-generated/resources/Bundle-bundle-example-ach-daily-full.json

fsh-generated/resources/Bundle-bundle-example-ach-daily-subject-influenzatherapeutic.json

This element does not match any known slice defined in the profile http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-subject-bundle|2.0.0-cibuild (this may not be a problem, but you should check that it's not intended to match a slice)

fsh-generated/resources/Bundle-bundle-example-ach-monthly-subject-ach-pass1.json

This element does not match any known slice defined in the profile http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation|2.0.0-cibuild (this may not be a problem, but you should check that it's not intended to match a slice)

fsh-generated/resources/Bundle-bundle-example-ltc-monthly-full.json

fsh-generated/resources/Bundle-bundle-example-ltc-monthly-header.json

fsh-generated/resources/Bundle-submission-full-example1.json

fsh-generated/resources/Medication-medication-example-ach-daily-influenzatherapeutic.json

fsh-generated/resources/Medication-medication-example-ach-daily-initialpopulationpass.json

fsh-generated/resources/Medication-medication-example-ach-daily-negativepcr.json

fsh-generated/resources/Medication-medication-example-ach-daily-rsvlabbtg-1.json

fsh-generated/resources/Medication-medication-example-ach-daily-rsvlabbtg-2.json

fsh-generated/resources/Observation-observation-example-ach-daily-initialpopulationpass-isolation.json

This element does not match any known slice defined in the profile http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-observation|2.0.0-cibuild (this may not be a problem, but you should check that it's not intended to match a slice)

fsh-generated/resources/Observation-observation-example-ach-monthly-pass1-gestational-age.json

input/resources/measure/measure-NHSNAcuteCareHospitalDailyInitialPopulation.xml

input/resources/measure/measure-NHSNAcuteCareHospitalMonthlyInitialPopulation.xml

input/resources/measure/measure-NHSNLongTermCareMonthlyInitialPopulation.xml

Extension_EXT_Unknown_NotHere

input/resources/measure/measure-NHSNLongTermCareMonthlyInitialPopulation.xml

The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem could not be found so is not allowed here

INACTIVE_CONCEPT_FOUND

input/resources/measure/measure-NHSNAcuteCareHospitalMonthlyInitialPopulation.xml

The concept '103693007' has a status of inactive and its use should be reviewed

MEASURE_MR_GRP_POP_COUNT_CANT_CHECK

fsh-generated/resources/Bundle-bundle-example-ach-monthly-header.json

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)

fsh-generated/resources/Bundle-bundle-example-ach-monthly-header.json

fsh-generated/resources/Bundle-bundle-example-ltc-monthly-full.json

fsh-generated/resources/Bundle-bundle-example-ltc-monthly-header.json

fsh-generated/resources/Bundle-submission-full-example1.json

fsh-generated/resources/MeasureReport-measurereport-example-ach-monthly-subjectlist1.json

fsh-generated/resources/MeasureReport-measurereport-example-ltc-monthly-subjectlist.json

MSG_DEPENDS_ON_DEPRECATED

fsh-generated/resources/StructureDefinition-cross-measure-patient.json

The extension http://hl7.org/fhir/StructureDefinition/iso21090-preferred|5.2.0 is deprecated