Validation Results for CMSAccessAPI

Generated Fri Mar 06 16:04:12 EST 2026, FHIR version 4.0.1 for cms.fhir.us.access#0.9.0 (canonical = https://globalalliantinc.com/access (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.1.2
Publication Code:	n/a . PackageId = cms.fhir.us.access, Canonical = https://globalalliantinc.com/access
Realm Check for n/a:	n/a
Language Info:	Stated Languages: n/a. IG Resource Lang: en-US. 1 of 58 (1%) 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:	24 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment cms.fhir.us.access 0.9.0 R4 https://globalalliantinc.com/access 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) 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 7.0.1 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.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 7.0.1 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 M R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 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 1.4.0 hl7.fhir.us.carin-bb 2.1.0 M R4 http://hl7.org/fhir/us/carin-bb http://hl7.org/fhir/us/carin-bb/STU2.1 hl7.terminology.r4 6.2.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.2.0 Latest Release is 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 (as above) 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.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 1.1.0 Templates: fhir.base.template#current
Related IGs:	n/a
Dependent IGs:	no references
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), CommonLanguages (13 uses), Condition (30 uses), ConditionClinicalStatusCodes (6 uses), ConditionVerificationStatus (6 uses), ConditionCategoryCodes (6 uses), Condition/DiagnosisSeverity (6 uses), SNOMEDCTBodyStructures (6 uses), Encounter (6 uses), Practitioner (12 uses), PractitionerRole (12 uses), RelatedPerson (12 uses), ConditionStage (6 uses), ClinicalImpression (6 uses), DiagnosticReport (6 uses), ConditionStageType (6 uses), ManifestationAndSymptomCodes (6 uses) hl7.fhir.uv.extensions.r4#5.2.0: TypeMustSupport (12 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Unable to compare with previous version: Unable to find version history at https://globalalliantinc.com/access (Problem #1 with package-list.json at https://globalalliantinc.com/access: 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 = 755 (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://globalalliantinc.com/access/StructureDefinition/access-data-reporting-bundle% (0 uses)

FHIR Extensions Pack 5.3.0 has not be released yet

• The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.2.0 is deprecated (1 uses)

Had to define codes for assessments not yet covered by LOINC

• %Reference to draft CodeSystem https://globalalliantinc.com/access/CodeSystem/ACCESSReportDataCompositionSectionCS% (0 uses)

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

• %Found multiple matching profiles for Observation/AverageBloodPressureExample among choices% (0 uses)
• %Found multiple matching profiles for Observation/BMIExample among choices% (0 uses)
• %Found multiple matching profiles for Observation/BodyWeightExample among choices% (0 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% (1 uses)

Questionnaire is referenced as part of a USCoreQuestionnaireResponse example, but is not an integral part of this IG. Alternative would have been to add the Structured Data Capture IG as a dependency, but didn't want to add that complexity since it is only one option of what could be included in the additionalInformation extension.

• The questionnaire 'http://example.org/Questionnaire/promis-pi-sf-6a|2.0' could not be resolved, so no validation can be performed against the base questionnaire (0 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 (0 uses)
• UCUM Codes that contain human readable annotations like {score} 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, and the Quantity.unit SHOULD contain the annotation (0 uses)

These codesystems are specific to the ACCESS Model

• %Reference to draft CodeSystem https://globalalliantinc.com/access/CodeSystem/ACCESSAlignmentResultCS% (2 uses)
• %Reference to draft CodeSystem https://globalalliantinc.com/access/CodeSystem/ACCESSEligibilityResultCS% (2 uses)
• %Reference to draft CodeSystem https://globalalliantinc.com/access/CodeSystem/ACCESSReferralTypeCS% (2 uses)
• %Reference to draft CodeSystem https://globalalliantinc.com/access/CodeSystem/ACCESSReportDataResultCS% (0 uses)
• %Reference to draft CodeSystem https://globalalliantinc.com/access/CodeSystem/ACCESSTrackCS% (5 uses)
• %Reference to draft CodeSystem https://globalalliantinc.com/access/CodeSystem/ACCESSUnalignmentReasonCS% (2 uses)
• %Reference to draft CodeSystem https://globalalliantinc.com/access/CodeSystem/ACCESSUnalignmentResultCS% (1 uses)

This is a proprietary system for ACCESS Participant ID

• No definition could be found for URL value 'https://globalalliantinc.com/access/participant-id' (6 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/% (677 uses)
• %Pinned the version of https://globalalliantinc.com/access/% (78 uses)
• Pinned the version of http://terminology.hl7.org/ValueSet/v3-ActCode to 3.0.0 (0 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 (0 uses)

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