Validation Results for EHealthExchangeHealthcareDirectoryImplementationGuide

Generated Thu Feb 12 10:03:28 EST 2026, FHIR version 4.0.1 for sequoia.fhir.us.ehx#1.11.0 (canonical = https://sequoiaproject.org/fhir/ehx (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.1.0
Publication Code:	n/a . PackageId = sequoia.fhir.us.ehx, Canonical = https://sequoiaproject.org/fhir/ehx
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:	36 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment sequoia.fhir.us.ehx 1.11.0 R4 https://sequoiaproject.org/fhir/ehx hl7.terminology.r4 7.0.1 M R4 http://terminology.hl7.org http://terminology.hl7.org/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 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) sequoia.fhir.us.sphd dev U R4 https://sequoiaproject.org/fhir/sphd file://C:\SEQ-workspace\SequoiaIGs-main-2026-02-12\SequoiaProjectHealthcareDirectoryImplementationGuide\output 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 4.0.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU4 Latest Release is 8.0.1 hl7.fhir.uv.bulkdata 1.0.1 O R4 http://hl7.org/fhir/uv/bulkdata http://hl7.org/fhir/uv/bulkdata/STU1.0.1 Latest Release is 3.0.0 us.nlm.vsac 0.3.0 O R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac FHIR Version Mismatch. Latest Release is 0.24.0 hl7.terminology 5.5.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.5.0 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 Latest Release is 5.2.0 hl7.fhir.uv.tools.r4 0.9.0 O R4 http://hl7.org/fhir/tools http://hl7.org/fhir/tools/0.9.0 Internal Dependency. Latest Release is 1.0.0 Templates: sequoia.fhir.template#0.1.0 -> 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:	(none)
Draft Dependencies:	hl7.fhir.r4.core#4.0.1: GuideParameterCode (15 uses), OrganizationAffiliationRole (5 uses), CommonLanguages (5 uses), EndpointStatus (1 uses), Organization (16 uses), OrganizationType (3 uses), OrganizationAffiliationRole (3 uses), ContactEntityType (3 uses), LocationStatus (1 uses), LocationMode (1 uses), LocationType (1 uses), Location (1 uses), Endpoint (1 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Unable to compare with previous version: Unable to find version history at https://sequoiaproject.org/fhir/ehx (Problem #1 with package-list.json at https://sequoiaproject.org/fhir/ehx: Not Found)
IPA Comparison:	n/a
IPS Comparison:	n/a
Validation Flags:	On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Summary:	errors = 33, warn = 7, info = 45, broken links = 0, pinned = n/a. Show Message Ids

n/a Show Validation Information

fsh-generated\resources\Endpoint-eHX-orgEndpoint.json Show Validation Information (1)

0 0 : start
16 16   : 0ms  : Analysing https://sequoiaproject.org/fhir/sphd/ValueSet/NHINUserRole|1.11.0 for validation purposes
16 0    : 0ms  : Parameters: disp-lang=en-US, default-to-latest
32 16   : 16ms : Prepare include: "(http://snomed.info/sct)(106289002,106290006,106292003,106311007,106328005,106330007,112247003,116154003,159026005,159033005,159034004,159483005,224546007,224570006,224571005,224608005,224609002,22515006,26042002,265950004,271554005,28229004,307785004,307969004,307988006,309398001,309418004,309428008,36682004,3842006,397897005,405278004,429577009,46255001,59944000,61207006,76231001,80546007,80584001)"
32 0    : 16ms : CodeSystem found: "http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201"
32 0    : 16ms : Prepare include: "(https://sequoiaproject.org/fhir/sphd/CodeSystem/EndpointRoleCodes)"
32 0    : 16ms : CodeSystem found: "https://sequoiaproject.org/fhir/sphd/CodeSystem/EndpointRoleCodes|1.11.0"
32 0    : 16ms : Validate "[http://snomed.info/sct#112247003 ("Medical doctor")]"
32 0    : 16ms : Check "http://snomed.info/sct#112247003"
32 0    : 16ms : CodeSystem found: http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201 for http://snomed.info/sct
32 0    : 16ms : check code in (http://snomed.info/sct)(106289002,106290006,106292003,106311007,106328005,106330007,112247003,116154003,159026005,159033005,159034004,159483005,224546007,224570006,224571005,224608005,224609002,22515006,26042002,265950004,271554005,28229004,307785004,307969004,307988006,309398001,309418004,309428008,36682004,3842006,397897005,405278004,429577009,46255001,59944000,61207006,76231001,80546007,80584001) at CodeableConcept.coding[0]
32 0    : 16ms : Code "112247003" found in http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201

fsh-generated\resources\OperationDefinition-aggregate-identifiers.json Show Validation Information (1)

Path	Severity	Message
OperationDefinition (l1/c3486)	error	The definition of the Operation is circular - it depends on itself (url = 'https://sequoiaproject.org/fhir/ehx/OperationDefinition/aggregate-identifiers', from 'https://sequoiaproject.org/fhir/ehx/OperationDefinition/aggregate-identifiers') OPDEF_CIRCULAR_DEFINITION

fsh-generated\resources\OperationDefinition-aggregate-states.json Show Validation Information (1)

Path	Severity	Message
OperationDefinition (l1/c3042)	error	The definition of the Operation is circular - it depends on itself (url = 'https://sequoiaproject.org/fhir/ehx/OperationDefinition/aggregate-states', from 'https://sequoiaproject.org/fhir/ehx/OperationDefinition/aggregate-states') OPDEF_CIRCULAR_DEFINITION

fsh-generated\resources\OperationDefinition-all.json Show Validation Information (1)

Path	Severity	Message
OperationDefinition (l1/c1678)	error	The definition of the Operation is circular - it depends on itself (url = 'https://sequoiaproject.org/fhir/ehx/OperationDefinition/all', from 'https://sequoiaproject.org/fhir/ehx/OperationDefinition/all') OPDEF_CIRCULAR_DEFINITION

fsh-generated\resources\OperationDefinition-geo-export.json Show Validation Information (1)

Path	Severity	Message
OperationDefinition (l1/c1958)	error	The definition of the Operation is circular - it depends on itself (url = 'https://sequoiaproject.org/fhir/ehx/OperationDefinition/geo-export', from 'https://sequoiaproject.org/fhir/ehx/OperationDefinition/geo-export') OPDEF_CIRCULAR_DEFINITION

fsh-generated\resources\OperationDefinition-hub-aware.json Show Validation Information (1)

Path	Severity	Message
OperationDefinition (l1/c1651)	error	The definition of the Operation is circular - it depends on itself (url = 'https://sequoiaproject.org/fhir/ehx/OperationDefinition/hub-aware', from 'https://sequoiaproject.org/fhir/ehx/OperationDefinition/hub-aware') OPDEF_CIRCULAR_DEFINITION

fsh-generated\resources\OperationDefinition-org-hierarchy.json Show Validation Information (1)

Path	Severity	Message
OperationDefinition (l1/c2674)	error	The definition of the Operation is circular - it depends on itself (url = 'https://sequoiaproject.org/fhir/ehx/OperationDefinition/org-hierarchy', from 'https://sequoiaproject.org/fhir/ehx/OperationDefinition/org-hierarchy') OPDEF_CIRCULAR_DEFINITION

fsh-generated\resources\OperationDefinition-search-near.json Show Validation Information (1)

Path	Severity	Message
OperationDefinition (l1/c3918)	error	The definition of the Operation is circular - it depends on itself (url = 'https://sequoiaproject.org/fhir/ehx/OperationDefinition/search-near', from 'https://sequoiaproject.org/fhir/ehx/OperationDefinition/search-near') OPDEF_CIRCULAR_DEFINITION

fsh-generated\resources\OperationDefinition-status-changes.json Show Validation Information (1)

Path	Severity	Message
OperationDefinition (l1/c2657)	error	The definition of the Operation is circular - it depends on itself (url = 'https://sequoiaproject.org/fhir/ehx/OperationDefinition/status-changes', from 'https://sequoiaproject.org/fhir/ehx/OperationDefinition/status-changes') OPDEF_CIRCULAR_DEFINITION

fsh-generated\resources\OperationDefinition-status-snapshot.json Show Validation Information (1)

Path	Severity	Message
OperationDefinition (l1/c1924)	error	The definition of the Operation is circular - it depends on itself (url = 'https://sequoiaproject.org/fhir/ehx/OperationDefinition/status-snapshot', from 'https://sequoiaproject.org/fhir/ehx/OperationDefinition/status-snapshot') OPDEF_CIRCULAR_DEFINITION

fsh-generated\resources\Organization-participant-example.json Show Validation Information (4)

fsh-generated\resources\Organization-sub-participant-example.json Show Validation Information (5)

fsh-generated\resources\StructureDefinition-eHxEndpoint.json Show Validation Information (1)

fsh-generated\resources\StructureDefinition-eHxOrganization.json Show Validation Information (1)

fsh-generated\resources\StructureDefinition-eHxParticipant.json Show Validation Information (1)

fsh-generated\resources\StructureDefinition-eHxSubParticipant.json Show Validation Information (1)

fsh-generated\resources\StructureDefinition-eHxSubparticipantLocation.json Show Validation Information (1)

fsh-generated\resources\StructureDefinition-eHxSubparticipantOrgLocation.json Show Validation Information (1)

Suppressed Messages (Warnings, hints, broken links)

Invalid issues that can't seem to be suppressed

• Slicing cannot be evaluated: Could not match discriminator ([url]) for slice Organization.extension:AdministrativeStatus/eHxSubParticipant in profile https://sequoiaproject.org/fhir/ehx/StructureDefinition/eHxSubParticipant - the discriminator [url] does not have fixed value, binding or existence assertions (0 uses)
• Slicing cannot be evaluated: Could not match discriminator ([url]) for slice Organization.extension:HubRoutingStatus/eHxSubParticipant in profile https://sequoiaproject.org/fhir/ehx/StructureDefinition/eHxSubParticipant - the discriminator [url] does not have fixed value, binding or existence assertions (0 uses)
• Slicing cannot be evaluated: Could not match discriminator ([url]) for slice Organization.extension:HubServiceSubscriptions/eHxSubParticipant in profile https://sequoiaproject.org/fhir/ehx/StructureDefinition/eHxSubParticipant - the discriminator [url] does not have fixed value, binding or existence assertions (0 uses)
• The code provided (https://sequoiaproject.org/fhir/sphd/CodeSystem/AdministrativeStatus#Nominal) is not in the value set https://sequoiaproject.org/fhir/sphd/ValueSet/AdministrativeStatus, and a code from this value set is required: Code System URI 'https://sequoiaproject.org/fhir/sphd/CodeSystem/AdministrativeStatus' is unknown so the code cannot be validated (0 uses)
• The code provided (https://sequoiaproject.org/fhir/sphd/CodeSystem/Domains#eHx) is not in the value set https://sequoiaproject.org/fhir/sphd/ValueSet/Domains, and a code from this value set is required: Code System URI 'https://sequoiaproject.org/fhir/sphd/CodeSystem/Domains' is unknown so the code cannot be validated (0 uses)
• The code provided (https://sequoiaproject.org/fhir/sphd/CodeSystem/Domains#eHx) is not in the value set https://sequoiaproject.org/fhir/sphd/ValueSet/Domains, and a code from this value set is required: Code System URI 'https://sequoiaproject.org/fhir/sphd/CodeSystem/Domains' is unknown so the code cannot be validated (0 uses)
• The code provided (https://sequoiaproject.org/fhir/sphd/CodeSystem/HubRoutingStatus#HubTesting) is not in the value set https://sequoiaproject.org/fhir/sphd/ValueSet/HubRoutingStatus, and a code from this value set is required: Code System URI 'https://sequoiaproject.org/fhir/sphd/CodeSystem/HubRoutingStatus' is unknown so the code cannot be validated (0 uses)
• The code provided (https://sequoiaproject.org/fhir/sphd/CodeSystem/HubServiceSubscriptionCodes#CarequalityService) is not in the value set https://sequoiaproject.org/fhir/sphd/ValueSet/HubServiceSubscriptions, and a code from this value set is required: Code System URI 'https://sequoiaproject.org/fhir/sphd/CodeSystem/HubServiceSubscriptionCodes' is unknown so the code cannot be validated (0 uses)
• This element does not match any known slice defined in the profile https://sequoiaproject.org/fhir/ehx/Endpoint/eHxEndpoint (0 uses)

Misc HL7 Warnings

• WARNING: ImplementationGuide/sequoia.fhir.us.ehx: ImplementationGuide: ig-0: Name should be usable as an identifier for the module by machine processing applications such as code generation [name.matches('[A-Z]([A-Za-z0-9_]){0,254}')] (0 uses)
• WARNING: Organization/participant-example: Organization.address[0].line[0]: value should not start or finish with whitespace (0 uses)
• WARNING: Organization/participant-example: Organization.contact[0].purpose: No code provided, and a code should be provided from the value set http://hl7.org/fhir/ValueSet/contactentity-type (http://hl7.org/fhir/ValueSet/contactentity-type) (0 uses)
• WARNING: Organization/participant-example: Organization.contact[1].purpose: No code provided, and a code should be provided from the value set http://hl7.org/fhir/ValueSet/contactentity-type (http://hl7.org/fhir/ValueSet/contactentity-type) (0 uses)
• WARNING: Organization/sub-participant-example: Organization.address[0].line[0]: value should not start or finish with whitespace (0 uses)
• WARNING: Organization/sub-participant-example: Organization.contact[0].purpose: No code provided, and a code should be provided from the value set http://hl7.org/fhir/ValueSet/contactentity-type (http://hl7.org/fhir/ValueSet/contactentity-type) (0 uses)
• WARNING: StructureDefinition/eHxEndpoint: StructureDefinition: sdf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation [name.matches('[A-Z]([A-Za-z0-9_]){0,254}')] (0 uses)
• WARNING: StructureDefinition/eHxOrganization: StructureDefinition.differential.element.where(path = 'Organization.partOf'): Cannot check whether the target profile https://sequoiaproject.org/fhir/cq/StructureDefinition/eHxOrganization is valid constraint on the base because it is not known (0 uses)
• WARNING: StructureDefinition/eHxOrganization: StructureDefinition.differential.element[9].type[0].targetProfile[0]: Unable to resolve profile https://sequoiaproject.org/fhir/cq/StructureDefinition/eHxOrganization (0 uses)
• WARNING: StructureDefinition/eHxOrganization: StructureDefinition.snapshot.element[54].type[0].targetProfile[0]: Unable to resolve profile https://sequoiaproject.org/fhir/cq/StructureDefinition/eHxOrganization (0 uses)
• WARNING: StructureDefinition/eHxOrganization: StructureDefinition: sdf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation [name.matches('[A-Z]([A-Za-z0-9_]){0,254}')] (0 uses)
• WARNING: StructureDefinition/eHxParticipant: StructureDefinition.snapshot.element[54].type[0].targetProfile[0]: Unable to resolve profile https://sequoiaproject.org/fhir/cq/StructureDefinition/eHxOrganization (0 uses)
• WARNING: StructureDefinition/eHxSubParticipant: StructureDefinition.snapshot.element[57].type[0].targetProfile[0]: Unable to resolve profile https://sequoiaproject.org/fhir/cq/StructureDefinition/eHxOrganization (0 uses)
• WARNING: Unable to find ImplementationGuide.definition.resource.description for the resource Endpoint/eHX-orgEndpoint. Descriptions are strongly encouraged if they cannot be inferred from the resource to allow proper population of the artifact list. (0 uses)
• WARNING: Unable to find ImplementationGuide.definition.resource.description for the resource Organization/participant-example. Descriptions are strongly encouraged if they cannot be inferred from the resource to allow proper population of the artifact list. (0 uses)
• WARNING: Unable to find ImplementationGuide.definition.resource.description for the resource Organization/sub-participant-example. Descriptions are strongly encouraged if they cannot be inferred from the resource to allow proper population of the artifact list. (0 uses)
• WARNING: Unable to find ImplementationGuide.definition.resource.description for the resource StructureDefinition/eHxEndpoint. Descriptions are strongly encouraged if they cannot be inferred from the resource to allow proper population of the artifact list. (1 uses)
• WARNING: Unable to find ImplementationGuide.definition.resource.description for the resource StructureDefinition/eHxOrganization. Descriptions are strongly encouraged if they cannot be inferred from the resource to allow proper population of the artifact list. (1 uses)
• WARNING: Unable to find ImplementationGuide.definition.resource.description for the resource StructureDefinition/eHxParticipant. Descriptions are strongly encouraged if they cannot be inferred from the resource to allow proper population of the artifact list. (1 uses)
• WARNING: Unable to find ImplementationGuide.definition.resource.description for the resource StructureDefinition/eHxSubParticipant. Descriptions are strongly encouraged if they cannot be inferred from the resource to allow proper population of the artifact list. (1 uses)
• WARNING: https://sequoiaproject.org/fhir/ehx/StructureDefinition/eHxOrganization#Organization.partOf: Cannot check whether the target profile https://sequoiaproject.org/fhir/cq/StructureDefinition/eHxOrganization is valid constraint on the base because it is not known (0 uses)

URLs that are not intended to resolve

• WARNING: StructureDefinition/eHxOrganization: StructureDefinition.snapshot.element[27].pattern.ofType(Identifier).system: URL value 'urn:oid:2.16.840.1.113883.4.336' does not resolve (0 uses)
• WARNING: StructureDefinition/eHxOrganization: StructureDefinition.snapshot.element[30].pattern.ofType(Identifier).system: URL value 'urn:oid:2.16.840.1.113883.6.300' does not resolve (0 uses)
• WARNING: StructureDefinition/eHxParticipant: StructureDefinition.snapshot.element[27].pattern.ofType(Identifier).system: URL value 'urn:oid:2.16.840.1.113883.4.336' does not resolve (0 uses)
• WARNING: StructureDefinition/eHxParticipant: StructureDefinition.snapshot.element[30].pattern.ofType(Identifier).system: URL value 'urn:oid:2.16.840.1.113883.6.300' does not resolve (0 uses)
• WARNING: StructureDefinition/eHxSubParticipant: StructureDefinition.snapshot.element[27].pattern.ofType(Identifier).system: URL value 'urn:oid:2.16.840.1.113883.4.336' does not resolve (0 uses)
• WARNING: StructureDefinition/eHxSubParticipant: StructureDefinition.snapshot.element[30].pattern.ofType(Identifier).system: URL value 'urn:oid:2.16.840.1.113883.6.300' does not resolve (0 uses)

Errors sorted by type

DEPRECATED_CONCEPT_FOUND

INACTIVE_CONCEPT_FOUND

MSG_DEPENDS_ON_DEPRECATED

MSG_DRAFT

OPDEF_CIRCULAR_DEFINITION

SD_PATH_SLICING_DEPRECATED

TYPE_SPECIFIC_CHECKS_DT_XHTML_UNKNOWN_HREF

XHTML_URL_INVALID