Validation Results for OpenHealthHub_FHIR

Generated Thu Jun 11 06:54:38 UTC 2026, FHIR version 4.0.1 for ohh-fhir#0.1.0 (canonical = https://api.openhealthhub.com/OpenHealthhub/fhir/4 (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.2.8
Publication Code:	n/a . PackageId = ohh-fhir, Canonical = https://api.openhealthhub.com/OpenHealthhub/fhir/4
Realm Check for n/a:	n/a
Language Info:	Stated Languages: n/a. IG Resource Lang: n/a. 4 of 64 (6%) of resources have a language. Population Policy: NONE
Publication Request:	Error fetching package-list from https://api.openhealthhub.com/OpenHealthhub/fhir/4: null No publication request found
Supressed Messages:	49 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment ohh-fhir 0.1.0 R4 https://api.openhealthhub.com/OpenHealthhub/fhir/4 hl7.terminology.r4 7.1.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 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.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 M R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 (as above) 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 hl7.fhir.uv.tools.r4 1.1.2 M R4 http://hl7.org/fhir/tools http://hl7.org/fhir/tools/1.1.2 Internal Dependency Templates: ohh-fhir-template#0.1 -> fhir.base.template#0.8.1
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:	(none)
Draft Dependencies:	hl7.fhir.r4.core#4.0.1: GuideParameterCode (15 uses), UsageContextType (3 uses), ActionType (2 uses), QuestionnaireItemUIControlCodes (48 uses), CommonLanguages (15 uses), signature (4 uses), completionMode (2 uses), Organization (19 uses), CarePlan (15 uses), Procedure (1 uses), Display Name (2 uses), QuestionnaireResponseStatus (1 uses), Encounter (6 uses), Device (9 uses), Practitioner (20 uses), PractitionerRole (11 uses), RelatedPerson (11 uses), QuestionnaireResponse (3 uses), Ordinal Value (2 uses), QuestionnaireAnswerCodes (6 uses), RequestStatus (3 uses), CarePlanIntent (3 uses), CarePlanCategory (3 uses), CareTeam (12 uses), Condition (7 uses), Goal (6 uses), CarePlanActivityOutcome (3 uses), Appointment (2 uses), CommunicationRequest (2 uses), DeviceRequest (2 uses), MedicationRequest (2 uses), NutritionOrder (2 uses), Task (5 uses), ServiceRequest (2 uses), VisionPrescription (2 uses), RequestGroup (2 uses), CarePlanActivityKind (3 uses), PlanDefinition (12 uses), ActivityDefinition (7 uses), Questionnaire (23 uses), Measure (3 uses), ProcedureCodes(SNOMEDCT) (3 uses), SNOMEDCTClinicalFindings (5 uses), DiagnosticReport (3 uses), DocumentReference (3 uses), CarePlanActivityStatus (3 uses), Location (5 uses), HealthcareService (5 uses), Medication (3 uses), Substance (3 uses), SNOMEDCTMedicationCodes (3 uses), TaskStatus (1 uses), TaskIntent (1 uses), RequestPriority (5 uses), ProcedurePerformerRoleCodes (1 uses), Coverage (1 uses), ClaimResponse (1 uses), Provenance (1 uses), Group (7 uses), CareTeamStatus (1 uses), ParticipantRoles (1 uses), PlanDefinitionType (1 uses), SubjectType (5 uses), UsageContextType (1 uses), ResearchStudy (1 uses), InsurancePlan (1 uses), Context of Use ValueSet (2 uses), DefinitionTopic (1 uses), Library (1 uses), GoalCategory (1 uses), GoalPriority (1 uses), GoalStartEvent (1 uses), Condition/Problem/DiagnosisCodes (1 uses), LOINCCodes (1 uses), ActionConditionKind (4 uses), ActionRelationshipType (4 uses), ActionParticipantType (4 uses), ActionParticipantRole (4 uses), ActionType (4 uses), ActionGroupingBehavior (4 uses), ActionSelectionBehavior (4 uses), ActionRequiredBehavior (4 uses), ActionPrecheckBehavior (4 uses), ActionCardinalityBehavior (4 uses), StructureMap (4 uses), Design Note (4 uses), QuestionnaireQuestionCodes (2 uses), itemControl (2 uses), QuestionnaireItemType (1 uses), QuestionnaireItemOperator (1 uses), EnableWhenBehavior (1 uses), Subscription (1 uses), SubscriptionStatus (1 uses), SubscriptionChannelType (1 uses) hl7.fhir.uv.sdc#3.0.0: StructuredDataCapture (1 uses), SDCQuestionnaireRender (3 uses), SDCQuestionnaireBehave (3 uses), EntryMode (5 uses), PerformerTypeExtension (4 uses), CalculatedExpressionExtension (6 uses), EnableWhenExpressionExtension (7 uses), SDCOpenLabel (2 uses), AnswerOptionsToggleExpressionExtension (1 uses), SDCQuestionnaireResponse (3 uses), ItemMedia (1 uses), ItemAnswerMedia (1 uses), SDCBaseQuestionnaire (3 uses), PreferredTerminologyServer (2 uses), AssembleExpectation (1 uses), SDCValueSet (1 uses)
Modifier Extensions:	(none)
Previous Version Comparison:
IPA Comparison:	n/a
IPS Comparison:	n/a
Validation Flags:	On: autoLoad, showReferenceMessages; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, noExperimentalContent, displayWarnings
Summary:	errors = 22, warn = 0, info = 5, broken links = 0, pinned = n/a. Show Message Ids

n/a Show Validation Information

fsh-generated/resources/Questionnaire-57953eb8-2455-4f96-a9dd-c86f31f28c9c.json Show Validation Information (6)

fsh-generated/resources/Questionnaire-b18b194d-e06e-40a8-b700-e1659f918511.json Show Validation Information (6)

fsh-generated/resources/Questionnaire-cf1aa9a1-051d-4c0d-bb63-71a95276a71c.json Show Validation Information (6)

fsh-generated/resources/QuestionnaireResponse-f443939b-439e-4fa9-a243-de27d1544b69.json Show Validation Information (4)

Suppressed Messages (Warnings, hints, broken links)

Broken extension matches from SDC

• Reference to draft CodeSystem http://hl7.org/fhir/questionnaire-item-control|4.0.1 (20 uses)
• The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.2.0 is deprecated (0 uses)
• The extension http://hl7.org/fhir/StructureDefinition/ordinalValue|5.2.0 is deprecated with the note: 'Replaced by [[[http://hl7.org/fhir/StructureDefinition/itemWeight]]]' (0 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' (0 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/designNote'. 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, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/designNote' to 'http://hl7.org/fhir/StructureDefinition/designNote|5.2.0' (0 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/display'. 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, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/display' to 'http://hl7.org/fhir/StructureDefinition/display|5.2.0' (0 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/ordinalValue'. 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, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/ordinalValue' to 'http://hl7.org/fhir/StructureDefinition/ordinalValue|5.2.0' (0 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl'. 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, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl' to 'http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl|5.2.0' (0 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode'. 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, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode' to 'http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode|5.2.0' (0 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature'. 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, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature' to 'http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.2.0' (0 uses)

Broken links from SDC implementation guide

• The link 'http://hl7.org/fhir/uv/sdc/STU4-ballot/rendering.html#itemControl' for "SDC implementation guide" cannot be resolved (0 uses)

Deprecated SDC version

• The ImplementationGuide uses package hl7.fhir.uv.sdc#3.0.0 released on 2022-03-08, but the most recent appropriate version is 4.0.0. This reference is getting old and the more recent version should be considered (1 uses)

Encrypted QuestionnaireResponse cannot be validated against Questionnaire

• An error occurred checking the value: Cannot parse null string (1 uses)
• Item has answer, even though it is not enabled (item id = 'example-question-4_group') (1 uses)
• Item has answer, even though it is not enabled (item id = 'example-question-5_group') (1 uses)
• Item has answer, even though it is not enabled (item id = 'example-question-6_group') (1 uses)
• Item has answer, even though it is not enabled (item id = 'example-question-7_group') (1 uses)
• Item has answer, even though it is not enabled (item id = 'example-question-8_group') (1 uses)
• The code null::null is not in the set of permitted values (3 uses)
• The value null is less than the allowed minimum of 5 (1 uses)

Inline profiles and extensions without standalone example

• INFORMATION: StructureDefinition.where(url = 'https://api.openhealthhub.com/OpenHealthhub/fhir/4/StructureDefinition/ohh-care-plan-task'): The Implementation Guide contains no explicitly linked examples for this profile (1 uses)
• WARNING: StructureDefinition.where(url = 'https://api.openhealthhub.com/OpenHealthhub/fhir/4/StructureDefinition/encrypted-attachment'): The Implementation Guide contains no examples for this extension (1 uses)
• WARNING: StructureDefinition.where(url = 'https://api.openhealthhub.com/OpenHealthhub/fhir/4/StructureDefinition/encrypted-booleanType'): The Implementation Guide contains no examples for this extension (1 uses)
• WARNING: StructureDefinition.where(url = 'https://api.openhealthhub.com/OpenHealthhub/fhir/4/StructureDefinition/encrypted-dateTimeType'): The Implementation Guide contains no examples for this extension (1 uses)
• WARNING: StructureDefinition.where(url = 'https://api.openhealthhub.com/OpenHealthhub/fhir/4/StructureDefinition/encrypted-dateType'): The Implementation Guide contains no examples for this extension (1 uses)
• WARNING: StructureDefinition.where(url = 'https://api.openhealthhub.com/OpenHealthhub/fhir/4/StructureDefinition/encrypted-timeType'): The Implementation Guide contains no examples for this extension (1 uses)
• WARNING: StructureDefinition.where(url = 'https://api.openhealthhub.com/OpenHealthhub/fhir/4/StructureDefinition/ohh-public-key-binary'): The Implementation Guide contains no examples for this profile (1 uses)

No OID assignments

• The resource PlanDefinition/a7b4be95-7fd1-480c-9f62-0100adfde3db could usefully have an OID assigned (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root) (1 uses)
• The resource Questionnaire/57953eb8-2455-4f96-a9dd-c86f31f28c9c could usefully have an OID assigned (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root) (1 uses)
• The resource Questionnaire/b18b194d-e06e-40a8-b700-e1659f918511 could usefully have an OID assigned (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root) (1 uses)
• The resource Questionnaire/cf1aa9a1-051d-4c0d-bb63-71a95276a71c could usefully have an OID assigned (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root) (1 uses)

OHH Specific non-resolvable code systems

• A definition for CodeSystem 'https://api.openhealthhub.com/OpenHealthhub/fhir/4/CodeSystem/7407430f-5f36-41a7-a6a3-2d3b9ff7e3a6-yesno_3' could not be found, so the code cannot be validated (2 uses)
• A definition for CodeSystem 'https://api.openhealthhub.com/OpenHealthhub/fhir/4/CodeSystem/b18b194d-e06e-40a8-b700-e1659f918511-mchoice_2' could not be found, so the code cannot be validated (3 uses)
• A definition for CodeSystem 'https://api.openhealthhub.com/OpenHealthhub/fhir/4/CodeSystem/b18b194d-e06e-40a8-b700-e1659f918511-mchoice_4' could not be found, so the code cannot be validated (3 uses)
• A definition for CodeSystem 'https://api.openhealthhub.com/OpenHealthhub/fhir/4/CodeSystem/b18b194d-e06e-40a8-b700-e1659f918511-mselect_3' could not be found, so the code cannot be validated (3 uses)
• A definition for CodeSystem 'https://api.openhealthhub.com/OpenHealthhub/fhir/4/CodeSystem/b18b194d-e06e-40a8-b700-e1659f918511-mselect_5' could not be found, so the code cannot be validated (3 uses)
• A definition for CodeSystem 'urn:uuid:74417bd2-bf09-490f-8852-ee6211e82890' could not be found, so the code cannot be validated (23 uses)
• No definition could be found for URL value 'urn:uuid:33206393-ef4c-4456-a926-93299c4dc17e' (5 uses)

Unused HTML Fragments

• The HTML fragment 'ip-statements.xhtml' is not included anywhere in the produced implementation guide (1 uses)

Used css-classes in xhtml extensions in Questionnaire display questions

• Constraint failed: xhtml-ext-1: 'The XHTML contained here SHALL abide by the same constraints as narrative. I.e. contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes (htmlChecks())' (0 uses)

Vertical vs Horizontal Sliders

• The extension http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation v4.0.1 is not allowed to be used at this point (based on context invariant 'ofType(ElementDefinition).type.exists(code='Coding') or where(%resource.is(Questionnaire)).exists(type.first()='choice' or type.first()='open-choice')') (0 uses)
• The extension http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation v4.0.1 is not allowed to be used at this point (based on context invariant 'type='choice' or type='open-choice'') (2 uses)

dummy endpoint for subscriptions

• No definition could be found for URL value 'https://your-his.com/Subscription-Notification/CarePlan' (1 uses)
• No definition could be found for URL value 'https://your-his.com/Subscription-Notification/QuestionnaireResponse' (1 uses)

sdc questionnaire and questionnaire response slice mismatch

• This element does not match any known slice defined in the profile http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-behave|3.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (50 uses)
• This element does not match any known slice defined in the profile http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-render|3.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (57 uses)
• This element does not match any known slice defined in the profile http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse|3.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (0 uses)
• This element does not match any known slice defined in the profile https://api.openhealthhub.com/OpenHealthhub/fhir/4/StructureDefinition/ohh-questionnaire|0.1.0 (this may not be a problem, but you should check that it's not intended to match a slice) (33 uses)

values in rendering-xhtml extension

• 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 (11 uses)

Errors sorted by type

MSG_DEPENDS_ON_DEPRECATED_NOTE

MSG_DRAFT

Profile_EXT_Not_Here

QUESTIONNAIRE_QR_ITEM_DECIMAL_MIN

QUESTIONNAIRE_QR_ITEM_INTEGER_VALUE_EXCEPTION

Questionnaire_QR_Item_NoCoding

Questionnaire_QR_Item_NotEnabled2