Validation Results for CMSAccessAPI

Generated Wed May 20 09:33:19 EDT 2026, FHIR version 4.0.1 for cms.fhir.us.cmmi-access-model#0.9.8 (canonical = https://dsacms.github.io/cmmi-access-model (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.2.4 which is a development version. The latest official release version isv2.2.7 Download Latest
Publication Code:	n/a . PackageId = cms.fhir.us.cmmi-access-model, Canonical = https://dsacms.github.io/cmmi-access-model
Realm Check for n/a:	n/a
Language Info:	Stated Languages: n/a. IG Resource Lang: en. 70 of 132 (53%) of resources have a language. Population Policy: NONE
Publication Request:	package-id cms.fhir.us.cmmi-access-model version 0.9.8 path https://dsacms.github.io/cmmi-access-model/0.9.8 Pub-Mode working release status draft Release-Label draft Sequence (Group) Releases desc ACCESS Model IG v0.9.8 DRAFT first true category Clinical Documents title ACCESS Model IG v0.9.8 DRAFT introduction This comprehensive guide covers all APIs for the CMS ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) Model. ci-build https://dsacms.github.io/cmmi-access-model RelatedIgs (None Found) 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' This release is not labelled as a milestone or technical correction, so should have a patch version (0.9.8)
Supressed Messages:	30 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment cms.fhir.us.cmmi-access-model 0.9.8 R4 https://dsacms.github.io/cmmi-access-model 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.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 5.3.0 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 7.1.0 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.fhir.us.carin-bb 2.1.0 O R4 http://hl7.org/fhir/us/carin-bb http://hl7.org/fhir/us/carin-bb/STU2.1 Latest Release is 2.2.0 hl7.terminology.r4 6.2.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.2.0 Latest Release is 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 (as above). 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 (as above). Latest Release is 8.0.1 hl7.fhir.us.core.3.1.1 3.1.1 U R4 http://hl7.org/fhir/us/core/3.1.1 http://hl7.org/fhir/us/core/3.1.1 hl7.fhir.us.core 3.1.1 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU3.1.1 Latest Release is 8.0.1 us.nlm.vsac 0.21.0 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 (as above). Latest Release is 4.0.0 hl7.fhir.uv.extensions.r4 5.2.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0 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: fhir2.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 (16 uses), CommonLanguages (29 uses), Condition (30 uses), ConditionClinicalStatusCodes (6 uses), ConditionVerificationStatus (6 uses), ConditionCategoryCodes (6 uses), Condition/DiagnosisSeverity (6 uses), SNOMEDCTBodyStructures (6 uses), Encounter (7 uses), Practitioner (52 uses), PractitionerRole (52 uses), RelatedPerson (52 uses), ConditionStage (6 uses), ClinicalImpression (6 uses), DiagnosticReport (6 uses), ConditionStageType (6 uses), ManifestationAndSymptomCodes (6 uses), Composition (53 uses), CompositionStatus (1 uses), FHIRDocumentTypeCodes (1 uses), CompositionAttestationMode (1 uses), Organization (40 uses), DocumentRelationshipType (1 uses), DocumentSectionCodes (39 uses), Device (39 uses), ListMode (39 uses), ListOrderCodes (39 uses), ListEmptyReasons (39 uses) hl7.fhir.uv.extensions.r4#5.2.0: TypeMustSupport (12 uses) hl7.fhir.uv.sdc#3.0.0: StructuredDataCapture (1 uses), SDCBaseQuestionnaire (15 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Unable to compare with previous version: Unable to find version history at https://dsacms.github.io/cmmi-access-model (Problem #1 with package-list.json at https://dsacms.github.io/cmmi-access-model: 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 = 1679 (all). Show Message Ids

n/a Show Validation Information

Suppressed Messages (Warnings, hints, broken links)

Bundle uses open slicing - additional entries beyond required slices are expected and intentional

• %This element does not match any known slice defined in the profile https://dsacms.github.io/cmmi-access-model/StructureDefinition/access-data-reporting-bundle% (94 uses)

Had to define codes for assessments not yet covered by LOINC

• %Reference to draft CodeSystem https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSReportDataCompositionSectionCS% (25 uses)

Need to use these categories for the model

• %Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/condition-category% (8 uses)
• %Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/observation-category% (29 uses)

Observations may match multiple profiles - this is expected when profile constraints are compatible

• %Found multiple matching profiles for Observation/BMIExample among choices% (5 uses)
• %Found multiple matching profiles for Observation/BodyWeightExample among choices% (5 uses)

Organization identifiers use custom systems - not required to match US Core identifier slices

• %This element does not match any known slice defined in the profile http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization% (10 uses)

Some servers do not yet support itemWeight

• The extension http://hl7.org/fhir/StructureDefinition/ordinalValue|5.2.0 is deprecated with the note: 'Replaced by [[[http://hl7.org/fhir/StructureDefinition/itemWeight]]]' (1 uses)

There is not a good alternative

• UCUM Codes that contain human readable annotations like {1.73_m2} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked (4 uses)

These are not instances of parameters defined in the base FHIR standard. They are specific to the ACCESS API operations.

• If the parameter 'patient' is an instance of the parameter defined in the base FHIR standard, then it must have a value (0 uses)
• If the parameter 'reportType' is an instance of the parameter defined in the base FHIR standard, then the type should be code, but found CodeableConcept (0 uses)
• If the parameter 'result' is a an instance of the parameter defined in the base FHIR standard, then the type should be one of boolean, string, Binary, Bundle or CanonicalResource, but found CodeableConcept (0 uses)

These codesystems are specific to the ACCESS Model

• %Reference to draft CodeSystem https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSAlignmentResultCS% (2 uses)
• %Reference to draft CodeSystem https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSEligibilityResultCS% (2 uses)
• %Reference to draft CodeSystem https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSReportDataResultCS% (6 uses)
• %Reference to draft CodeSystem https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSReportTypeCS% (5 uses)
• %Reference to draft CodeSystem https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSTrackCS% (31 uses)
• %Reference to draft CodeSystem https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSUnalignmentReasonCS% (2 uses)
• %Reference to draft CodeSystem https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSUnalignmentResultCS% (1 uses)

This is a proprietary system for ACCESS Participant ID

• No definition could be found for URL value 'https://dsacms.github.io/cmmi-access-model/participant-id' (20 uses)

To be investigated further

• %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)% (15 uses)

US Core 6.1.0 QuestionnaireResponse relies on SDCQuestionnaireResponse v3.0.0, which relies on hl7.fhir.uv.extensions.r4 v5.2.0

• The ImplementationGuide uses package hl7.fhir.uv.extensions.r4#5.2.0 released on 2025-02-10, but the most recent appropriate version is 5.3.0. This reference is getting old and the more recent version should be considered (1 uses)
• 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)

We are required to use US Core 6.1.0

• 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)

We are using FHIR 4.0.1, US Core 6.1.0, and our own artifacts

• %Pinned the version of http://hl7.org/fhir/% (1560 uses)
• %Pinned the version of https://dsacms.github.io/cmmi-access-model/% (118 uses)
• Pinned the version of http://terminology.hl7.org/ValueSet/v3-ActCode to 3.0.0 (1 uses)

We are using type=value

• 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) (6 uses)

We don't need/want to collect practitioner information for the ACCESS Model.

• Best Practice Recommendation: In general, all observations should have a performer (59 uses)

We need to use carin-bb#2.1.0 since v2.2.0 of that IG is based off of US Core 7.0.0

• The ImplementationGuide uses package hl7.fhir.us.carin-bb#2.1.0 released on 2025-02-18, but the most recent appropriate version is 2.2.0. This reference is getting old and the more recent version should be considered (1 uses)

Errors sorted by type