Validation Results for SequoiaProjectHealthcareDirectoryImplementationGuide

Generated Mon May 11 09:54:04 EDT 2026, FHIR version 4.0.1 for sequoia.fhir.us.sphd#1.14.0 (canonical = https://sequoiaproject.org/fhir/sphd (history)). See Full QA Report & IP

Quality Checks

Publisher Version:

IG Publisher Version: v2.2.7

Publication Code:

n/a . PackageId = sequoia.fhir.us.sphd, Canonical = https://sequoiaproject.org/fhir/sphd

Realm Check for n/a:

n/a

Language Info:

This IG has no language information

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:

34 Suppressed Issues

Dependency Checks:

Package	Version	FHIR	Canonical	Web Base	Comment
sequoia.fhir.us.sphd	1.14.0	R4	https://sequoiaproject.org/fhir/sphd
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.us.core	6.1.0 O	R4	http://hl7.org/fhir/us/core	http://hl7.org/fhir/us/core/STU6.1	Latest Release is 8.0.1
hl7.terminology.r4	5.0.0 O	R4	http://terminology.hl7.org	http://terminology.hl7.org/5.0.0	Latest Release is 7.1.0
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 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 7.1.0
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 1.5.0
hl7.terminology	5.5.0 O	R4	http://terminology.hl7.org	http://terminology.hl7.org/5.5.0	Latest Release is 7.1.0
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.tools.r4	1.1.2 M	R4	http://hl7.org/fhir/tools	http://hl7.org/fhir/tools/1.1.2	Internal Dependency

Templates: sequoia.fhir.template#0.1.0 -> fhir.base.template#current

Related IGs:

n/a

Dependent IGs:

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), FHIR Defined Concept Properties (5 uses), OrganizationAffiliationRole (3 uses), AuditEvent (2 uses), OrganizationAffiliationRole (4 uses), Endpoint (2 uses), CommonLanguages (3 uses), EndpointStatus (1 uses), Location (2 uses), LocationStatus (1 uses), LocationMode (1 uses), LocationType (1 uses), Organization (6 uses), OrganizationType (1 uses), ContactEntityType (1 uses)
hl7.terminology#5.5.0: AuditEventOutcome (1 uses), SecurityRoleType (1 uses), EndpointConnectionType (19 uses)

Modifier Extensions:

(none)

Previous Version Comparison:

Unable to compare with previous version: Unable to find version history at https://sequoiaproject.org/fhir/sphd (Problem #1 with package-list.json at https://sequoiaproject.org/fhir/sphd: 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 = 0, info = 0, broken links = 0, pinned = 3 (when multiples).

Filename

Errors

Warnings

Hints

Build Errors

0

0

0

n/a Show Validation Information

Suppressed Messages (Warnings, hints, broken links)

01. Repeating elements have a pattern that is expected to apply to all the repeats.

INFORMATION: StructureDefinition/SequoiaOrganization: StructureDefinition.snapshot.element[23].pattern.ofType(Identifier): The repeating element has a pattern. The pattern will apply to all the repeats (this has not been clear to all users) (1 uses)
INFORMATION: StructureDefinition/SequoiaOrganization: StructureDefinition.snapshot.element[24].pattern.ofType(Identifier): The repeating element has a pattern. The pattern will apply to all the repeats (this has not been clear to all users) (1 uses)
INFORMATION: StructureDefinition/SequoiaOrganization: StructureDefinition.snapshot.element[25].pattern.ofType(Identifier): The repeating element has a pattern. The pattern will apply to all the repeats (this has not been clear to all users) (1 uses)
INFORMATION: StructureDefinition/SequoiaOrganization: StructureDefinition.snapshot.element[28].pattern.ofType(Identifier): The repeating element has a pattern. The pattern will apply to all the repeats (this has not been clear to all users) (1 uses)
INFORMATION: StructureDefinition/SequoiaOrganization: StructureDefinition.snapshot.element[29].pattern.ofType(Identifier): The repeating element has a pattern. The pattern will apply to all the repeats (this has not been clear to all users) (1 uses)

02. Deprecated concept that Sequoia directories still use

INFORMATION: StructureDefinition/SequoiaEndpoint: StructureDefinition.snapshot.element[4].binding.extension[0]: The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.2.0 is deprecated (1 uses)

03. Reference to draft and experimental code systems acknowledged and appropriate for examples.

INFORMATION: Endpoint/fhir-endpoint: Endpoint.connectionType: Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/endpoint-connection-type|2.1.0 (1 uses)
INFORMATION: Endpoint/fhir-endpoint: Endpoint.contained[0]/*AuditEvent/Inline-example-update*/.agent[0].type: Reference to experimental CodeSystem http://terminology.hl7.org/CodeSystem/extra-security-role-type|1.0.0 (1 uses)
INFORMATION: Location/SeqLocation: Location.extension[0].value.ofType(Coding): Reference to draft CodeSystem http://hl7.org/fhir/organization-role|4.0.1 (1 uses)
INFORMATION: Organization/5.5.5.5: Organization.contained[0]/*Location/SeqLocation*/.extension[0].value.ofType(Coding): Reference to draft CodeSystem http://hl7.org/fhir/organization-role|4.0.1 (1 uses)
INFORMATION: Organization/9.9.9.9: Organization.type[1]: Reference to draft CodeSystem http://hl7.org/fhir/organization-role|4.0.1 (1 uses)

04. Inactive codes and wrong display names will be reviewed in future updates.

INFORMATION: ValueSet/EndpointPayloadTypeCodes: ValueSet.compose.include[0].concept[0]: Wrong Display Name 'No Information' for http://terminology.hl7.org/CodeSystem/v3-NullFlavor#NI. Valid display is 'NoInformation' (en) (for the language(s) 'en, en-US'). Note that the display in the ValueSet does not have to match; this check exists to help check that it's not accidentally the wrong code (1 uses)
INFORMATION: ValueSet/HubRoutingStatus: ValueSet.compose.include[0].concept[1]: Wrong Display Name 'InitatorOnly' for https://sequoiaproject.org/fhir/sphd/CodeSystem/HubRoutingStatus#InitiatorOnly. Valid display is 'InitiatorOnly' (for the language(s) 'en, en-US'). Note that the display in the ValueSet does not have to match; this check exists to help check that it's not accidentally the wrong code (1 uses)
INFORMATION: ValueSet/NHINUserRole: ValueSet.compose.include[0].concept[16]: Wrong Display Name 'Complementary Healthcare worker' for http://snomed.info/sct#224609002. Valid display is one of 4 choices: 'Complementary health worker' (en), 'Complementary practitioner' (en), 'Complementary therapist' (en) or 'Complementary health worker (occupation)' (en) (for the language(s) 'en, en-US'). Note that the display in the ValueSet does not have to match; this check exists to help check that it's not accidentally the wrong code (1 uses)
INFORMATION: ValueSet/NHINUserRole: ValueSet.compose.include[0].concept[19]: Wrong Display Name 'IT Professional' for http://snomed.info/sct#265950004. Valid display is one of 2 choices: 'Professional scientist/engineer/technologist' (en) or 'Professional scientist/engineer/technologist (occupation)' (en) (for the language(s) 'en, en-US'). Note that the display in the ValueSet does not have to match; this check exists to help check that it's not accidentally the wrong code (1 uses)
INFORMATION: ValueSet/NHINUserRole: ValueSet.compose.include[0].concept[22]: Wrong Display Name 'insurance specialist (health insurance/payor)' for http://snomed.info/sct#307785004. Valid display is one of 2 choices: 'Insurance specialist' (en) or 'Insurance specialist (occupation)' (en) (for the language(s) 'en, en-US'). Note that the display in the ValueSet does not have to match; this check exists to help check that it's not accidentally the wrong code (1 uses)
INFORMATION: ValueSet/NHINUserRole: ValueSet.compose.include[0].concept[25]: Wrong Display Name 'Profession allied to medicine (non-licensed care giver)' for http://snomed.info/sct#309398001. Valid display is one of 5 choices: 'Profession allied to medicine' (en), 'PAM - Profession allied to medicine' (en), 'Profession allied to medicine (occupation)' (en), 'Allied health professional' (en) or 'AHP - Allied Health Professional' (en) (for the language(s) 'en, en-US'). Note that the display in the ValueSet does not have to match; this check exists to help check that it's not accidentally the wrong code (1 uses)
INFORMATION: ValueSet/NHINUserRole: ValueSet.compose.include[0].concept[30]: Wrong Display Name 'Paramedic/EMT' for http://snomed.info/sct#397897005. Valid display is one of 5 choices: 'Paramedic (occupation)' (en), 'Paramedic' (en), 'EMT' (en), 'Emergency medical technician' (en) or 'EMT - emergency medical technician' (en) (for the language(s) 'en, en-US'). Note that the display in the ValueSet does not have to match; this check exists to help check that it's not accidentally the wrong code (1 uses)
WARNING: ValueSet/NHINUserRole: ValueSet.compose.include[0].concept[6]: The concept '112247003' has a status of inactive and its use should be reviewed (1 uses)

05. This IG is FHIR R4. Discriminator types will be reviewed when moving to R5+.

INFORMATION: StructureDefinition/SequoiaEndpoint: StructureDefinition.differential.element[11].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/SequoiaEndpoint: StructureDefinition.snapshot.element[18].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/SequoiaEndpoint: StructureDefinition.snapshot.element[20].pattern.ofType(Identifier): The repeating element has a pattern. The pattern will apply to all the repeats (this has not been clear to all users) (1 uses)
INFORMATION: StructureDefinition/SequoiaOrganization: StructureDefinition.differential.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/SequoiaOrganization: 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/SequoiaOrganization: StructureDefinition.snapshot.element[31].slicing.discriminator[0]: The discriminator type 'pattern' is deprecated in R5+. For future compatibility, you could consider using type=value with a pattern[x] instead (if this is not an inherited slicing) (1 uses)

06. Organization.identifier' slice for 'CLIA' is inherited from US Core 6.1.0.

WARNING: StructureDefinition/SequoiaOrganization: StructureDefinition.snapshot: The slice 'CLIA' on path 'Organization.identifier' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true (1 uses)

07. Pinned versions have been reviewed and are correct.

INFORMATION: ValueSet.compose.include[0].valueSet[0]: Pinned the version of http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType to 3.0.0 from choices of 2.0.0 (hl7.terminology.r4#5.0.0), 3.0.0 (hl7.terminology#5.5.0) (1 uses)
INFORMATION: ValueSet.compose.include[0]: Pinned the version of http://terminology.hl7.org/CodeSystem/endpoint-connection-type to 2.1.0 from choices of 1.0.0 (hl7.terminology.r4#5.0.0), 2.1.0 (hl7.terminology#5.5.0) (1 uses)
INFORMATION: ValueSet.compose.include[0]: Pinned the version of http://terminology.hl7.org/CodeSystem/v3-NullFlavor to 3.0.0 from choices of 2.1.0 (hl7.terminology.r4#5.0.0), 3.0.0 (hl7.terminology#5.5.0) (1 uses)

08. This IG is intended to contain only abstract StructureDefinitions, so Warning is expected.

WARNING: StructureDefinition/SequoiaEndpoint: StructureDefinition: Endpoint is labeled as an abstract type, but no concrete descendants were found (check definitions - this is usually an error unless concrete definitions are in some other package) (1 uses)
WARNING: StructureDefinition/SequoiaOrganization: StructureDefinition: Organization is labeled as an abstract type, but no concrete descendants were found (check definitions - this is usually an error unless concrete definitions are in some other package) (1 uses)

09. Canonical URL 'https://sequoiaproject.org/fhir/sphd' is confirmed to be correct.

WARNING: CapabilityStatement/directory-capability-statement: CapabilityStatement.implementationGuide[0]: A definition could not be found for Canonical URL 'https://sequoiaproject.org/fhir/sphd' (1 uses)

10. This IG intentionally depends on specified versions: FHIR R4 and US Core 6.1.0.

WARNING: ImplementationGuide/sequoia.fhir.us.sphd: ImplementationGuide.dependsOn[1]: The ImplementationGuide uses package hl7.fhir.us.core#6.1.0 released on 2023-06-30, but the most recent appropriate version is 8.0.1. This reference is getting old and the more recent version should be considered (1 uses)
WARNING: ImplementationGuide/sequoia.fhir.us.sphd: ImplementationGuide.dependsOn[2]: The ImplementationGuide uses package hl7.terminology#5.5.0 released on 2024-03-09, but the most recent appropriate version is 7.1.0. This reference is getting old and the more recent version should be considered (1 uses)

Errors sorted by type