Validation Results for HL7Terminology

Generated Sun Jun 14 17:10:19 MDT 2026, FHIR version 5.0.0 for hl7.terminology#7.2.0 (canonical = http://terminology.hl7.org (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.2.9
Publication Code:	n/a . PackageId = hl7.terminology, Canonical = http://terminology.hl7.org
Realm Check for n/a:	n/a
Language Info:	Stated Languages: n/a. IG Resource Lang: en. 1926 of 4165 (46%) of resources have a language. Population Policy: NONE
Publication Request:	package-id hl7.terminology version 7.2.0 path http://terminology.hl7.org/7.2.0 Pub-Mode milestone status release Release-Label Publication Sequence (Group) Publications (current: 'Publications', others = n/a) desc Twenty-third publication of HL7 Terminology. 19 UTG approved tickets applied. RelatedIgs (None Found) No Messages found - all good
Supressed Messages:	77 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment hl7.terminology 7.2.0 R5 http://terminology.hl7.org HL7 Packages must have an id that starts with hl7.cda., hl7.fhir., hl7.v2., hl7.xprod., or hl7.ehrs. hl7.fhir.uv.extensions.r5 5.3.0 M R5 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.3.0 hl7.terminology.r5 7.1.0 M R5 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 hl7.fhir.uv.extensions.r5 5.2.0 O R5 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 Latest Release is 5.3.0 hl7.fhir.uv.tools.r5 1.1.2 M R5 http://hl7.org/fhir/tools http://hl7.org/fhir/tools/1.1.2 Internal Dependency Templates: hl7.utg.template#current -> hl7.base.template#current -> fhir2.base.template#current
Related IGs:	n/a
Dependent IGs:	no references
Global Profiles:	(none declared)
Terminology Server(s):	https://tx.fhir.org/r5 (details)
HTA Analysis:	UTG is exempt from terminology dependency analysis
R5 Dependencies:	http://hl7.org/fhir/5.0/StructureDefinition/extension-NamingSystem.title http://hl7.org/fhir/5.0/StructureDefinition/extension-NamingSystem.version http://hl7.org/fhir/5.0/StructureDefinition/extension-NamingSystem.url
Draft Dependencies:	hl7.fhir.r5.core#5.0.0: GuideParameterCode (39 uses), ShareableCodeSystem (203 uses), ColorCodes (1 uses), ConceptProperties (698 uses), ShareableValueSet (310 uses), PractitionerRole (1 uses), PatientRelationshipType (1 uses), DetectedIssueCategory (1 uses), DetectedIssueSeverity (1 uses), DetectedIssueMitigationAction (1 uses), DeviceSafety (1 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Comparison with version 7.1.0
IPA Comparison:	n/a
IPS Comparison:	n/a
Validation Flags:	On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Summary:	errors = 64, warn = 10, info = 0, broken links = 15, pinned = n/a. Show Message Ids

n/a Show Validation Information

input\sourceOfTruth\external\hta\codeSystems\complete\cs-CMS-PlaceofServiceCodes.xml Show Validation Information (1)

input\sourceOfTruth\external\hta\codeSystems\complete\cs-ILRSpeakingSkillScale.xml Show Validation Information (1)

input\sourceOfTruth\external\hta\namingSystems\NCPDPFormularyStatus.xml Show Validation Information (1)

input\sourceOfTruth\fhir\codeSystems\CodeSystem-allergyintolerance-clinical.xml Show Validation Information (1)

input\sourceOfTruth\fhir\codeSystems\CodeSystem-allergyintolerance-verification.xml Show Validation Information (1)

input\sourceOfTruth\fhir\codeSystems\CodeSystem-appointment-cancellation-reason.xml Show Validation Information (1)

input\sourceOfTruth\fhir\codeSystems\CodeSystem-condition-clinical.xml Show Validation Information (1)

input\sourceOfTruth\fhir\codeSystems\CodeSystem-data-absent-reason.xml Show Validation Information (1)

input\sourceOfTruth\fhir\codeSystems\CodeSystem-goal-achievement.xml Show Validation Information (1)

input\sourceOfTruth\fhir\codeSystems\CodeSystem-sex-parameter-for-clinical-use.xml Show Validation Information (1)

input\sourceOfTruth\fhir\codeSystems\CodeSystem-special-values.xml Show Validation Information (1)

input\sourceOfTruth\fhir\codeSystems\CodeSystem-state-change-reason.xml Show Validation Information (1)

input\sourceOfTruth\fhir\valueSets\ValueSet-color-codes.xml Show Validation Information (1)

input\sourceOfTruth\fhir\valueSets\ValueSet-evidence-variable-handling.xml Show Validation Information (1)

input\sourceOfTruth\fhir\valueSets\ValueSet-snomed-intl-gps.json Show Validation Information (1)

input\sourceOfTruth\fhir\valueSets\valueSet-image-reference-type.xml Show Validation Information (1)

input\sourceOfTruth\unified\valueSets\valueset-ColorRGB.xml Show Validation Information (1)

input\sourceOfTruth\v3\valueSets\v3-ActInvoiceDetailCode.xml Show Validation Information (1)

input\sourceOfTruth\v3\valueSets\v3-ActInvoiceElementCode.xml Show Validation Information (1)

input\sourceOfTruth\v3\valueSets\v3-ObservationType.xml Show Validation Information (1)

input\sourceOfTruth\v3\valueSets\v3-SnodentAnteriorInterarchDeviationTypeInternational.xml Show Validation Information (1)

input\sourceOfTruth\v3\valueSets\v3-SnodentCraniofacialAnomalyInternational.xml Show Validation Information (1)

input\sourceOfTruth\v3\valueSets\v3-SnodentDentalAbnormalityInternational.xml Show Validation Information (1)

input\sourceOfTruth\v3\valueSets\v3-SnodentDentalFrenumRegionInternational.xml Show Validation Information (1)

input\sourceOfTruth\v3\valueSets\v3-SnodentDentalPeriodontalProbingPositionInternational.xml Show Validation Information (1)

input\sourceOfTruth\v3\valueSets\v3-SnodentDentalToothFurcationSiteInternational.xml Show Validation Information (1)

input\sourceOfTruth\v3\valueSets\v3-SnodentDentalToothMobilityMillerClassificationInternational.xml Show Validation Information (1)

input\sourceOfTruth\v3\valueSets\v3-SnodentDentalUniversalNumberingSystemInternational.xml Show Validation Information (1)

input\sourceOfTruth\v3\valueSets\v3-SnodentDentitionStateInternational.xml Show Validation Information (1)

input\sourceOfTruth\v3\valueSets\v3-SnodentJawTypeInternational.xml Show Validation Information (1)

input\sourceOfTruth\v3\valueSets\v3-SnodentOralCavityAreaInternational.xml Show Validation Information (1)

input\sourceOfTruth\v3\valueSets\v3-SnodentOrthodonticDiagnosticFeatureInternational.xml Show Validation Information (1)

input\sourceOfTruth\v3\valueSets\v3-SnodentOrthodonticTreatmentPreconditionInternational.xml Show Validation Information (1)

input\sourceOfTruth\v3\valueSets\v3-SnodentPosteriorInterarchDeviationTypeInternational.xml Show Validation Information (1)

input\sourceOfTruth\v3\valueSets\v3-SnodentSalzmannInterarchDeviationMaxillaryToothInternational.xml Show Validation Information (1)

input\sourceOfTruth\v3\valueSets\v3-xActBillableCode.xml Show Validation Information (1)

Suppressed Messages (Warnings, hints, broken links)

01 Should be fixed at a later date via UTG process

• CODESYSTEM_CONCEPT_NO_DEFINITION (66 uses)
• CODESYSTEM_CONCEPT_NO_DISPLAY (11 uses)

02 to be investigated

• TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS (0 uses)
• The Implementation Guide contains no examples for this extension (7 uses)
• The value set references CodeSystem 'http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets' which has status 'null' (0 uses)

03 These value sets are supposed to exist

• Review the All Codes Value Set - incomplete CodeSystems generally should not have an all codes value set specified (2 uses)

04 Not HTML tags.

• The markdown contains content that appears to be an embedded HTML tag starting at '<p'. This will (or SHOULD) be escaped by the presentation layer. The content should be checked to confirm that this is the desired behaviour (3 uses)
• 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 (21 uses)

05 Can't be helped

• The value set expansion is too large, and only a subset has been displayed (24 uses)
• VALUESET_INC_TOO_MANY_CODES (1 uses)

06 Will fix in a future release. jira.hl7.org/browse/UP-790

• Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided (concept.concept.exists() implies hierarchyMeaning.exists())' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem) (7 uses)
• Constraint failed: scs-1: 'If a codesystem contains nested concepts, it must specify hierarchyMeaning (concept.concept.exists() implies hierarchyMeaning.exists())' (5 uses)
• WARNING: CodeSystem/allergyintolerance-clinical: CodeSystem: HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly (1 uses)
• WARNING: CodeSystem/allergyintolerance-verification: CodeSystem: HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly (1 uses)
• WARNING: CodeSystem/appointment-cancellation-reason: CodeSystem: HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly (1 uses)
• WARNING: CodeSystem/condition-clinical: CodeSystem: HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly (1 uses)
• WARNING: CodeSystem/condition-ver-status: CodeSystem: HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly (1 uses)
• WARNING: CodeSystem/data-absent-reason: CodeSystem: HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly (1 uses)
• WARNING: CodeSystem/goal-achievement: CodeSystem: HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly (1 uses)

07 this is intended behavior

• WARNING: ValueSet/v3-SecurityAlterationIntegrityObservationType: ValueSet.description: The markdown contains content that appears to be an embedded HTML tag starting at '<p'. This will (or SHOULD) be escaped by the presentation layer. The content should be checked to confirm that this is the desired behaviour (1 uses)

08 warnings that apply to normal IGs but not to THO

• An HTML fragment from the set [dependency-table.xhtml, dependency-table-short.xhtml, dependency-table-nontech.xhtml] is not included anywhere in the produced implementation guide (1 uses)
• This element does not match any known slice defined in the profile http://hl7.org/fhir/StructureDefinition/shareablecodesystem|5.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (380 uses)
• WARNING: 1: The HTML fragment 'ip-statements.xhtml' is not included anywhere in the produced implementation guide (1 uses)
• WARNING: 4: The HTML fragment 'globals-table.xhtml' is not included anywhere in the produced implementation guide (1 uses)

09 expected behaviour

• The value set references CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' which has status 'fragment' (5 uses)
• The value set references CodeSystem 'http://terminology.hl7.org/CodeSystem/insurance-plan-type' which has status 'fragment' (1 uses)
• The value set references CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-mediaType' which has status 'fragment' (8 uses)
• The value set references CodeSystem 'http://www.ada.org/snodent' which has status 'fragment' (15 uses)

10 need to figure out what's up with the slicing stuff at a later date

• This element does not match any known slice defined in the profile http://hl7.org/fhir/StructureDefinition/shareablevalueset|5.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (550 uses)

11 known issue with jurisdiction

• Reference to deprecated ValueSet http://hl7.org/fhir/ValueSet/jurisdiction|5.0.0 (37 uses)

12 Many of these are intentional. Will unsuppress and check the rest after this release

• CODESYSTEM_PROPERTY_CODE_DEFAULT_WARNING (448 uses)

13 Will fix in later release

• CODESYSTEM_PROPERTY_UNDEFINED (3570 uses)

14 This code should have remained in the code system for backwards compatibility. These

• Terminology_TX_NoValid_16 (15 uses)
• The System URI could not be determined for the code 'att' in the ValueSet 'http://hl7.org/fhir/ValueSet/hl7-work-group|5.2.0' (0 uses)

15 True, but these are retired code systems so we'll ignore it

• When a CodeSystem has content = 'complete', it doesnt make sense for there to be no concepts defined (9 uses)

16 guide-parameter-code needs to be used but is experimental in the core spec

• Reference to experimental CodeSystem http://hl7.org/fhir/guide-parameter-code|5.0.0 (39 uses)

17 Edge case where this makes sense

• %The value set references CodeSystem 'http://terminology.hl7.org/CodeSystem/triggerEventID' which has status 'fragment% (2 uses)

18 Will define property later

• CODESYSTEM_PROPERTY_UNKNOWN_CODE (2 uses)
• CODESYSTEM_PROPERTY_URI_UNKNOWN (1 uses)

19 markdown warnings

• #20 Will consider dealing with deprecated and inactive concepts in includes at a later date (0 uses)
• DEPRECATED_CONCEPT_FOUND (32 uses)
• INACTIVE_CONCEPT_FOUND (22 uses)
• TYPE_SPECIFIC_CHECKS_DT_MARKDOWN_HTML (2 uses)

23 Need to investigate further. URLS do resolve

• REFERENCE_REF_REL_UNSOLVEABLE (40 uses)

24 intended behaviour

• The markdown contains content that appears to be an embedded HTML tag starting at '<e'. This will (or SHOULD) be escaped by the presentation layer. The content should be checked to confirm that this is the desired behaviour (4 uses)

25 need to resolve property issues later

• CODESYSTEM_PROPERTY_BAD_INTERNAL_REFERENCE (2397 uses)
• Type_Specific_Checks_DT_URL_Resolve (1 uses)

27 Will resolve bad filters later

• VALUESET_BAD_FILTER_VALUE_VALID_CODE (1 uses)
• VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE (15 uses)

28 Will deal with incorrect displays later

• VALUESET_CODE_CONCEPT_HINT (134 uses)

30 nothing can be done about this for now

• Error from https://tx.fhir.org/r5: Error: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/EPSG-GeodeticParameterDataset' could not be found, so the value set cannot be expanded (2 uses)
• Error from https://tx.fhir.org/r5: Error: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/SCDHEC-GISSpatialAccuracyTiers' could not be found, so the value set cannot be expanded (2 uses)
• Error from https://tx.fhir.org/r5: Error: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/epsg-ca' could not be found, so the value set cannot be expanded (2 uses)
• Error from https://tx.fhir.org/r5: Error: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/epsg-crs' could not be found, so the value set cannot be expanded (2 uses)
• Error from https://tx.fhir.org/r5: Error: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/icd9cm' could not be found, so the value set cannot be expanded (2 uses)
• Error from https://tx.fhir.org/r5: Error: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/naics' could not be found, so the value set cannot be expanded (4 uses)
• Error from https://tx.fhir.org/r5: Error: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/nubc-UB92' could not be found, so the value set cannot be expanded (4 uses)
• Error from https://tx.fhir.org/r5: Error: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0350' could not be found, so the value set cannot be expanded (2 uses)
• Error from https://tx.fhir.org/r5: Error: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0351' could not be found, so the value set cannot be expanded (2 uses)
• Error from https://tx.fhir.org/r5: Error: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0456' could not be found, so the value set cannot be expanded (2 uses)
• Error from https://tx.fhir.org/r5: Error: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0895' could not be found, so the value set cannot be expanded (2 uses)
• Error from https://tx.fhir.org/r5: Error: A definition for CodeSystem 'https://www.nlm.nih.gov/mesh' could not be found, so the value set cannot be expanded (4 uses)
• Error from https://tx.fhir.org/r5: Error: A definition for CodeSystem 'https://www.nlm.nih.gov/mesh' could not be found, so the value set cannot be expanded (0 uses)
• Error from https://tx.fhir.org/r5: Error: A definition for CodeSystem 'https://www.nubc.org/CodeSystem/PatDischargeStatus' could not be found, so the value set cannot be expanded (4 uses)
• Error from https://tx.fhir.org/r5: Error: The code System "http://snomed.info/sct" has a grammar, and cannot be enumerated directly (2 uses)
• Error from https://tx.fhir.org/r5: Error: The code System "http://www.ama-assn.org/go/cpt" has a grammar, and cannot be enumerated directly (2 uses)
• Error from https://tx.fhir.org/r5: Error: The code system definition for http://terminology.hl7.org/CodeSystem/time-period-ranges has no content, so this expansion cannot be performed (2 uses)
• Error from https://tx.fhir.org/r5: Error: The code system definition for http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets has no content property, so this expansion cannot be performed (0 uses)
• Unable to expand included value set 'http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7151.html': Unable to expand imported value set: Error from https://tx.fhir.org/r5: Error: A definition for CodeSystem 'doi:10.1016/S0735-1097(99)00126-6' could not be found, so the value set cannot be expanded (and Error from https://tx.fhir.org/r5: Error: A definition for CodeSystem 'doi:10.1016/S0735-1097(99)00126-6' could not be found, so the value set cannot be expanded ) (0 uses)
• VALUESET_INC_CS_NO_SUPPORT (2 uses)
• VALUESET_UNKNOWN_FILTER_PROPERTY_NO_CS (1 uses)
• WARNING: ValueSet.where(id = 'v3-ObservationType'): Unable to expand included value set 'http://terminology.hl7.org/ValueSet/v3-LogicalObservationIdentifierNamesAndCodes': Unable to expand imported value set: Error from http://tx.fhir.org/r5: The value set '' expansion has too many codes to display (>10000) (and Error from https://tx.fhir.org/r5: Error: display must be provided) (0 uses)
• WARNING: ValueSet.where(id = 'v3-xActBillableCode'): Unable to expand included value set 'http://terminology.hl7.org/ValueSet/v3-ObservationType': Unable to expand included value set 'http://terminology.hl7.org/ValueSet/v3-LogicalObservationIdentifierNamesAndCodes': Unable to expand imported value set: Error from http://tx.fhir.org/r5: The value set '' expansion has too many codes to display (>10000) (and Error from https://tx.fhir.org/r5: Error: display must be provided) (0 uses)

31 Will deal with these in later release. Most are retired

• Resource is not deprecated, but the description mentions deprecated - check whether it should be deprecated (50 uses)

32 Fix in later release

• Error from https://tx.fhir.org/r5: Error: A definition for CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20200731' could not be found, so the value set cannot be expanded. Valid versions: http://snomed.info/sct/11000146104/version/20240930, http://snomed.info/sct/11000172109/version/20231115, http://snomed.info/sct/2011000195101/version/20230607, http://snomed.info/sct/32506021000036107/version/20230731, http://snomed.info/sct/45991000052106/version/20231130, http://snomed.info/sct/554471000005108/version/20250930, http://snomed.info/sct/731000124108/version/20230301, http://snomed.info/sct/731000124108/version/20240301, http://snomed.info/sct/731000124108/version/20250901, http://snomed.info/sct/827022005/version/20241216, http://snomed.info/sct/83821000000107/version/20230412, http://snomed.info/sct/900000000000207008/version/20240201, http://snomed.info/sct/900000000000207008/version/20250201 and http://snomed.info/xsct/900000000000207008/version/20250814 (0 uses)
• Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues) (0 uses)

33 Will replace extension in next release

• The extension http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments|5.2.0 is retired (0 uses)

Errors sorted by type

Extension_EXTP_Context_Wrong_VER

Terminology_TX_NoValid_16

Type_Specific_Checks_DT_URL_Resolve

UNABLE_TO_INFER_CODESYSTEM

VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER