Validation Results for HeartlandProtocolIG

Generated Tue Sep 29 19:01:24 EDT 2026, FHIR version 4.0.1 for heartland.fhir.us.protocol#0.3.0 (canonical = https://fhir.heartlandprotocol.org (history)). See Full QA Report & IP

Quality Checks

Publisher Version:

IG Publisher Version: v2.3.4

Publication Code:

n/a . PackageId = heartland.fhir.us.protocol, Canonical = https://fhir.heartlandprotocol.org

Realm Check for n/a:

n/a

Language Info:

Stated Languages: n/a. IG Resource Lang: en. 1 of 32 (3%) of resources have a language. Population Policy: NONE

Publication Request:

This IG has never been published
This IG has never been published, so the version should start with '0.' or include a patch version e.g. '-ballot'
No publication request found

Supressed Messages:

No Suppressed Issues

Dependency Checks:

Package	Version	FHIR	Canonical	Web Base	Comment
heartland.fhir.us.protocol	0.3.0	R4	https://fhir.heartlandprotocol.org
hl7.terminology.r4	7.4.0 M	R4	http://terminology.hl7.org	http://terminology.hl7.org/7.4.0
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 O	R4	http://terminology.hl7.org	http://terminology.hl7.org/7.1.0	Latest Release is 7.4.0
hl7.fhir.uv.extensions.r4	5.2.0 O	R4	http://hl7.org/fhir/extensions	http://hl7.org/fhir/extensions/5.2.0	Latest Release is 5.3.0
hl7.fhir.us.core	6.1.0 O	R4	http://hl7.org/fhir/us/core	http://hl7.org/fhir/us/core/STU6.1	Latest Release is 9.0.0
hl7.terminology.r4	5.0.0 O	R4	http://terminology.hl7.org	http://terminology.hl7.org/5.0.0	Latest Release is 7.4.0
hl7.fhir.uv.extensions.r4	1.0.0 O	R4	http://hl7.org/fhir/extensions	http://hl7.org/fhir/extensions/1.0.0	Latest Release is 5.3.0
hl7.fhir.uv.bulkdata	2.0.0 O	R4	http://hl7.org/fhir/uv/bulkdata	http://hl7.org/fhir/uv/bulkdata/STU2	Latest Release is 3.0.0
hl7.fhir.uv.smart-app-launch	2.1.0 O	R4	http://hl7.org/fhir/smart-app-launch	http://hl7.org/fhir/smart-app-launch/STU2.1	Latest Release is 2.2.0
hl7.terminology.r4	5.0.0 O	R4	http://terminology.hl7.org	http://terminology.hl7.org/5.0.0	(as above). Latest Release is 7.4.0
us.nlm.vsac	0.11.0 O	R4	http://fhir.org/packages/us.nlm.vsac	http://fhir.org/packages/us.nlm.vsac	Latest Release is 0.24.0
hl7.fhir.uv.sdc	3.0.0 O	R4	http://hl7.org/fhir/uv/sdc	http://hl7.org/fhir/uv/sdc/STU3	Latest Release is 4.0.0
hl7.fhir.r4.examples	4.0.1 O	R4	http://hl7.org/fhir	http://hl7.org/fhir/R4	Latest Release is 5.0.0
us.cdc.phinvads	0.12.0 M	R4	http://fhir.org/packages/us.cdc.phinvads	http://fhir.org/packages/us.cdc.phinvads
ihe.formatcode.fhir	1.1.0 O	R4	https://profiles.ihe.net/fhir/ihe.formatcode.fhir	https://profiles.ihe.net/fhir/ihe.formatcode.fhir/1.1.0	Latest Release is 1.6.0
hl7.fhir.uv.tools.r4	1.1.2 O	R4	http://hl7.org/fhir/tools	http://hl7.org/fhir/tools/1.1.2	Internal Dependency. Latest Release is 1.2.0

Templates: heartland.fhir.template#0.1.0 -> fhir2.base.template#0.1.0

Related IGs:

n/a

Dependent IGs:

Global Profiles:

(none declared)

Terminology Server(s):

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

HTA Analysis:

Non-HL7 Igs are exempt from terminology dependency analysis

R5 Dependencies:

(none)

Draft Dependencies:

hl7.fhir.r4.core#4.0.1: GuideParameterCode (15 uses), CarePlan (8 uses), CommonLanguages (7 uses), PlanDefinition (2 uses), Questionnaire (4 uses), Measure (2 uses), ActivityDefinition (2 uses), RequestStatus (1 uses), CarePlanIntent (1 uses), CarePlanCategory (1 uses), Encounter (5 uses), Practitioner (10 uses), PractitionerRole (10 uses), Device (8 uses), RelatedPerson (9 uses), Organization (9 uses), CareTeam (5 uses), Condition (4 uses), Goal (2 uses), CarePlanActivityOutcome (1 uses), Appointment (1 uses), CommunicationRequest (1 uses), DeviceRequest (2 uses), MedicationRequest (2 uses), NutritionOrder (2 uses), Task (1 uses), ServiceRequest (4 uses), VisionPrescription (1 uses), RequestGroup (1 uses), CarePlanActivityKind (1 uses), ProcedureCodes(SNOMEDCT) (1 uses), SNOMEDCTClinicalFindings (1 uses), DiagnosticReport (2 uses), DocumentReference (3 uses), CarePlanActivityStatus (1 uses), Location (1 uses), HealthcareService (1 uses), Medication (1 uses), Substance (1 uses), SNOMEDCTMedicationCodes (1 uses), QuestionnaireResponse (41 uses), Procedure (3 uses), QuestionnaireResponseStatus (2 uses), QuestionnaireAnswerCodes (1 uses), ImmunizationRecommendation (1 uses), MedicationAdministration (1 uses), MedicationDispense (1 uses), MedicationStatement (1 uses), Immunization (1 uses), ImagingStudy (2 uses), ObservationCategoryCodes (2 uses), SNOMEDCTBodyStructures (1 uses), ObservationMethods (1 uses), Specimen (1 uses), ObservationReferenceRangeMeaningCodes (1 uses), ObservationReferenceRangeAppliesToCodes (1 uses), MolecularSequence (2 uses), Media (1 uses), LOINCCodes (1 uses), RiskAssessment (3 uses)

Modifier Extensions:

(none)

Previous Version Comparison:

Unable to compare with previous version: Unable to find version history at https://fhir.heartlandprotocol.org (Problem #1 with package-list.json at https://fhir.heartlandprotocol.org: 404 Not Found)

IPA Comparison:

n/a

IPS Comparison:

n/a

Validation Flags:

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

Summary:

errors = 0, warn = 14, info = 23, broken links = 0, pinned = n/a.

Filename	Errors	Warnings	Hints
Build Errors	0	1	0
fsh-generated/resources/CodeSystem-heartland-evidence-level	0	1	0
fsh-generated/resources/CodeSystem-heartland-implementation-tier	0	1	0
fsh-generated/resources/CodeSystem-heartland-monitoring-track	0	1	0
fsh-generated/resources/CodeSystem-heartland-risk-score	0	1	0
fsh-generated/resources/CodeSystem-heartland-risk-tier	0	1	0
fsh-generated/resources/ImplementationGuide-heartland.fhir.us.protocol	0	1	1
fsh-generated/resources/Observation-ObservationExampleWeightRedFlag	0	1	0
fsh-generated/resources/Patient-PatientExampleRural	0	1	1
fsh-generated/resources/ValueSet-heartland-evidence-level-vs	0	1	0
fsh-generated/resources/ValueSet-heartland-implementation-tier-vs	0	1	0
fsh-generated/resources/ValueSet-heartland-monitoring-observation-code-vs	0	1	0
fsh-generated/resources/ValueSet-heartland-monitoring-track-vs	0	1	0
fsh-generated/resources/ValueSet-heartland-risk-tier-vs	0	1	0

n/a Show Validation Information

2

warning

An HTML fragment from the set [cross-version-analysis.xhtml, cross-version-analysis-inline.xhtml] is not included anywhere in the produced implementation guide

fsh-generated/resources/CodeSystem-heartland-evidence-level.json Show Validation Information (1)

Path

Severity

Message

Validating

Resource

warning

The resource CodeSystem/heartland-evidence-level should have an OID assigned to cater for possible use with OID based terminology systems e.g. CDA usage (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root)

--

fsh-generated/resources/CodeSystem-heartland-implementation-tier.json Show Validation Information (1)

Path

Severity

Message

Validating

Resource

warning

The resource CodeSystem/heartland-implementation-tier should have an OID assigned to cater for possible use with OID based terminology systems e.g. CDA usage (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root)

--

fsh-generated/resources/CodeSystem-heartland-monitoring-track.json Show Validation Information (1)

Path

Severity

Message

Validating

Resource

warning

The resource CodeSystem/heartland-monitoring-track should have an OID assigned to cater for possible use with OID based terminology systems e.g. CDA usage (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root)

--

fsh-generated/resources/CodeSystem-heartland-risk-score.json Show Validation Information (1)

Path

Severity

Message

Validating

Resource

warning

The resource CodeSystem/heartland-risk-score should have an OID assigned to cater for possible use with OID based terminology systems e.g. CDA usage (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root)

--

fsh-generated/resources/CodeSystem-heartland-risk-tier.json Show Validation Information (1)

Path

Severity

Message

Validating

Resource

warning

The resource CodeSystem/heartland-risk-tier should have an OID assigned to cater for possible use with OID based terminology systems e.g. CDA usage (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root)

--

fsh-generated/resources/ImplementationGuide-heartland.fhir.us.protocol.json Show Validation Information (1)

Path

Severity

Message

Validating

ImplementationGuide.dependsOn[2] (l1/c3068)

warning

The ImplementationGuide uses package hl7.fhir.us.core#6.1.0 released on 2023-06-30, but the most recent appropriate version is 9.0.0. This reference is getting old and the more recent version should be considered IG_DEPENDENCY_VERSION_WARNING_OLD

--

Resource

information

The resource ImplementationGuide/heartland.fhir.us.protocol 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)

--

fsh-generated/resources/Observation-ObservationExampleWeightRedFlag.json Show Validation Information (1)

Path

Severity

Message

Validating

Observation (l1/c2)

warning

Best Practice Recommendation: In general, all observations should have a performer All_observations_should_have_a_performer

--

fsh-generated/resources/Patient-PatientExampleRural.json Show Validation Information (1)

Path

Severity

Message

Validating

Patient.identifier[0].system (l43/c69)

warning

No definition could be found for URL value 'https://fhir.heartlandprotocol.org/sid/example-mrn' Type_Specific_Checks_DT_URL_Resolve

HEARTLAND Patient

Patient.address[0].extension[0].value.ofType(Coding).system (l28/c12)

information

A definition for CodeSystem 'https://fhir.heartlandprotocol.org/sid/synthetic-county-code' could not be found, so the code cannot be validated UNKNOWN_CODESYSTEM

HEARTLAND Patient

fsh-generated/resources/ValueSet-heartland-evidence-level-vs.json Show Validation Information (1)

Path

Severity

Message

Validating

Resource

warning

The resource ValueSet/heartland-evidence-level-vs should have an OID assigned to cater for possible use with OID based terminology systems e.g. CDA usage (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root)

--

fsh-generated/resources/ValueSet-heartland-implementation-tier-vs.json Show Validation Information (1)

Path

Severity

Message

Validating

Resource

warning

The resource ValueSet/heartland-implementation-tier-vs should have an OID assigned to cater for possible use with OID based terminology systems e.g. CDA usage (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root)

--

fsh-generated/resources/ValueSet-heartland-monitoring-observation-code-vs.json Show Validation Information (1)

Path

Severity

Message

Validating

Resource

warning

The resource ValueSet/heartland-monitoring-observation-code-vs should have an OID assigned to cater for possible use with OID based terminology systems e.g. CDA usage (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root)

--

fsh-generated/resources/ValueSet-heartland-monitoring-track-vs.json Show Validation Information (1)

Path

Severity

Message

Validating

Resource

warning

The resource ValueSet/heartland-monitoring-track-vs should have an OID assigned to cater for possible use with OID based terminology systems e.g. CDA usage (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root)

--

fsh-generated/resources/ValueSet-heartland-risk-tier-vs.json Show Validation Information (1)

Path

Severity

Message

Validating

Resource

warning

The resource ValueSet/heartland-risk-tier-vs should have an OID assigned to cater for possible use with OID based terminology systems e.g. CDA usage (OIDs are easy to assign - see https://build.fhir.org/ig/FHIR/fhir-tools-ig/CodeSystem-ig-parameters.html#ig-parameters-auto-oid-root)

--

Suppressed Messages (Warnings, hints, broken links)

No suppressed messsages

Errors sorted by type

All_observations_should_have_a_performer

fsh-generated/resources/Observation-ObservationExampleWeightRedFlag.json

Best Practice Recommendation: In general, all observations should have a performer

--

IG_DEPENDENCY_VERSION_WARNING_OLD

fsh-generated/resources/ImplementationGuide-heartland.fhir.us.protocol.json

The ImplementationGuide uses package hl7.fhir.us.core#6.1.0 released on 2023-06-30, but the most recent appropriate version is 9.0.0. This reference is getting old and the more recent version should be considered

--

MSG_DEPENDS_ON_DEPRECATED_NOTE

fsh-generated/resources/StructureDefinition-heartland-careplan.json

The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.3.0 is deprecated with the note: 'Use additionalBinding extension or element instead'

StructureDefinition

MSG_EXPERIMENTAL

fsh-generated/resources/CarePlan-CarePlanExampleTier2.json

Reference to experimental CodeSystem https://fhir.heartlandprotocol.org/CodeSystem/heartland-implementation-tier|0.3.0

HEARTLAND Care Plan

fsh-generated/resources/CarePlan-CarePlanExampleTier2.json

Reference to experimental CodeSystem https://fhir.heartlandprotocol.org/CodeSystem/heartland-monitoring-track|0.3.0

HEARTLAND Care Plan

SD_PATH_SLICING_DEPRECATED

fsh-generated/resources/StructureDefinition-heartland-remote-monitoring-observation.json

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)

--

fsh-generated/resources/StructureDefinition-heartland-remote-monitoring-observation.json

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)

--

Type_Specific_Checks_DT_URL_Resolve

fsh-generated/resources/Patient-PatientExampleRural.json

No definition could be found for URL value 'https://fhir.heartlandprotocol.org/sid/example-mrn'

HEARTLAND Patient

UNKNOWN_CODESYSTEM

fsh-generated/resources/Patient-PatientExampleRural.json

A definition for CodeSystem 'https://fhir.heartlandprotocol.org/sid/synthetic-county-code' could not be found, so the code cannot be validated

HEARTLAND Patient