Validation Results for CarequalityHealthcareDirectoryImplementationGuide

Generated Tue Oct 27 16:25:12 EDT 2026, FHIR version 4.0.1 for sequoia.fhir.us.cq#1.18.0 (canonical = https://sequoiaproject.org/fhir/cq (history)). See Errors Only & IP

Quality Checks
Publisher Version:	IG Publisher Version: v3.0.1
Publication Code:	n/a . PackageId = sequoia.fhir.us.cq, Canonical = https://sequoiaproject.org/fhir/cq
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:	33 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment sequoia.fhir.us.cq 1.18.0 R4 https://sequoiaproject.org/fhir/cq sequoia.fhir.us.cq / hl7.terminology.r4 7.5.0 M Latest Milestone Release. R4 http://terminology.hl7.org http://terminology.hl7.org/7.5.0 sequoia.fhir.us.cq / hl7.fhir.uv.extensions.r4 5.3.0 M Latest Milestone Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.3.0 sequoia.fhir.us.cq / hl7.fhir.uv.extensions.r4 / hl7.terminology.r4 7.1.0 O Outdated Release. R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 Latest Release is 7.5.0 sequoia.fhir.us.cq / hl7.fhir.uv.extensions.r4 / hl7.terminology.r4 / hl7.fhir.uv.extensions.r4 5.2.0 O Outdated Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 Latest Release is 5.3.0 sequoia.fhir.us.cq / sequoia.fhir.us.sphd dev U Not yet released. R4 https://sequoiaproject.org/fhir/sphd file://C:\SEQ-workspace\SequoiaIGs-main\SequoiaProjectHealthcareDirectoryImplementationGuide\output sequoia.fhir.us.cq / sequoia.fhir.us.sphd / hl7.fhir.uv.extensions.r4 5.3.0 M Latest Milestone Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.3.0 (as above) sequoia.fhir.us.cq / sequoia.fhir.us.sphd / hl7.fhir.us.core 6.1.0 O Outdated Release. R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU6.1 Latest Release is 9.0.0 sequoia.fhir.us.cq / sequoia.fhir.us.sphd / hl7.fhir.us.core / hl7.terminology.r4 5.0.0 O Outdated Release. R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 Latest Release is 7.5.0 sequoia.fhir.us.cq / sequoia.fhir.us.sphd / hl7.fhir.us.core / hl7.fhir.uv.extensions.r4 1.0.0 O Outdated Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/1.0.0 Latest Release is 5.3.0 sequoia.fhir.us.cq / sequoia.fhir.us.sphd / hl7.fhir.us.core / hl7.fhir.uv.bulkdata 2.0.0 O Outdated Release. R4 http://hl7.org/fhir/uv/bulkdata http://hl7.org/fhir/uv/bulkdata/STU2 Latest Release is 3.0.0 sequoia.fhir.us.cq / sequoia.fhir.us.sphd / hl7.fhir.us.core / hl7.fhir.uv.smart-app-launch 2.1.0 O Outdated Release. R4 http://hl7.org/fhir/smart-app-launch http://hl7.org/fhir/smart-app-launch/STU2.1 Latest Release is 2.2.0 sequoia.fhir.us.cq / sequoia.fhir.us.sphd / hl7.fhir.us.core / hl7.fhir.uv.smart-app-launch / hl7.terminology.r4 5.0.0 O Outdated Release. R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 (as above). Latest Release is 7.5.0 sequoia.fhir.us.cq / sequoia.fhir.us.sphd / hl7.fhir.us.core / us.nlm.vsac 0.11.0 O Outdated Release. R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac Latest Release is 0.24.0 sequoia.fhir.us.cq / sequoia.fhir.us.sphd / hl7.fhir.us.core / hl7.fhir.uv.sdc 3.0.0 O Outdated Release. R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 Latest Release is 4.0.0 sequoia.fhir.us.cq / sequoia.fhir.us.sphd / hl7.fhir.us.core / hl7.fhir.uv.sdc / hl7.fhir.r4.examples 4.0.1 O Outdated Release. R4 http://hl7.org/fhir http://hl7.org/fhir/R4 Latest Release is 5.0.0 sequoia.fhir.us.cq / sequoia.fhir.us.sphd / hl7.fhir.us.core / us.cdc.phinvads 0.12.0 M Latest Milestone Release. R4 http://fhir.org/packages/us.cdc.phinvads http://fhir.org/packages/us.cdc.phinvads sequoia.fhir.us.cq / sequoia.fhir.us.sphd / hl7.fhir.us.core / ihe.formatcode.fhir 1.1.0 O Outdated Release. 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 sequoia.fhir.us.cq / sequoia.fhir.us.sphd / hl7.terminology 5.5.0 O Outdated Release. R4 http://terminology.hl7.org http://terminology.hl7.org/5.5.0 Latest Release is 7.5.0 sequoia.fhir.us.cq / sequoia.fhir.us.sphd / hl7.terminology / hl7.fhir.uv.extensions.r4 1.0.0 O Outdated Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/1.0.0 (as above). Latest Release is 5.3.0 sequoia.fhir.us.cq / hl7.fhir.uv.tools.r4 1.3.0 M Latest Milestone Release. R4 http://hl7.org/fhir/tools http://hl7.org/fhir/tools/1.3.0 Internal Dependency 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):	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), Organization (18 uses), CommonLanguages (4 uses), OrganizationType (3 uses), OrganizationAffiliationRole (3 uses), ContactEntityType (3 uses), EndpointStatus (1 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Unable to compare with previous version: Unable to find version history at https://sequoiaproject.org/fhir/cq (Problem #1 with package-list.json at https://sequoiaproject.org/fhir/cq: 404 Not Found)
IPA Comparison:	n/a
IPS Comparison:	n/a
Validation Flags:	On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Summary:	errors = 19, warn = 8, info = 27, broken links = 0, pinned = 0 (when multiples). Show Message Ids

n/a Show Validation Information

fsh-generated\includes\fsh-link-references.md Show Validation Information (0)

fsh-generated\includes\menu.xml Show Validation Information (0)

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

fsh-generated\resources\ImplementationGuide-sequoia.fhir.us.cq.json Show Validation Information (1)

fsh-generated\resources\Organization-Carequality-Connection-example.json Show Validation Information (3)

fsh-generated\resources\Organization-Carequality-Implementer-example.json Show Validation Information (3)

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

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

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

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

input\pagecontent\change_log.md Show Validation Information (0)

input\pagecontent\downloads.md Show Validation Information (0)

input\pagecontent\index.md Show Validation Information (0)

temp\pages\_includes\artifacts.xml Show Validation Information (0)

template\config Show Validation Information (0)

template\config\_config.yml Show Validation Information (0)

Suppressed Messages (Warnings, hints, broken links)

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

• INFORMATION: StructureDefinition/CarequalityConnection: StructureDefinition.snapshot.element[27].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/CarequalityConnection: 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/CarequalityConnection: 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)
• INFORMATION: StructureDefinition/CarequalityConnection: StructureDefinition.snapshot.element[30].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/CarequalityConnection: StructureDefinition.snapshot.element[33].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/CarequalityConnection: StructureDefinition.snapshot.element[34].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/CarequalityEndpoint: 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) (0 uses)
• INFORMATION: StructureDefinition/CarequalityImplementer: StructureDefinition.snapshot.element[27].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/CarequalityImplementer: 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/CarequalityImplementer: 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)
• INFORMATION: StructureDefinition/CarequalityImplementer: StructureDefinition.snapshot.element[30].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/CarequalityImplementer: StructureDefinition.snapshot.element[33].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/CarequalityImplementer: StructureDefinition.snapshot.element[34].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/CarequalityOrganization: StructureDefinition.snapshot.element[27].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/CarequalityOrganization: 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/CarequalityOrganization: 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)
• INFORMATION: StructureDefinition/CarequalityOrganization: StructureDefinition.snapshot.element[30].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/CarequalityOrganization: StructureDefinition.snapshot.element[33].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/CarequalityOrganization: StructureDefinition.snapshot.element[34].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/CarequalityConnection: StructureDefinition.snapshot.element[4].binding.extension[0]: The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.3.0 is deprecated with the note: 'Use additionalBinding extension or element instead' (1 uses)
• WARNING: Endpoint/CQ-orgEndpoint: Endpoint.connectionType: The concept 'ihe-xcpd' is deprecated and its use should be reviewed (1 uses)

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

• INFORMATION: Endpoint/CQ-orgEndpoint: Endpoint.connectionType: Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/endpoint-connection-type|2.1.0 (0 uses)

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

• INFORMATION: StructureDefinition/CarequalityConnection: StructureDefinition.snapshot.element[26].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/CarequalityConnection: StructureDefinition.snapshot.element[36].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/CarequalityEndpoint: 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) (0 uses)
• INFORMATION: StructureDefinition/CarequalityImplementer: StructureDefinition.snapshot.element[26].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/CarequalityImplementer: StructureDefinition.snapshot.element[36].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/CarequalityOrganization: StructureDefinition.snapshot.element[26].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/CarequalityOrganization: StructureDefinition.snapshot.element[36].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)

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

• WARNING: StructureDefinition/CarequalityConnection: 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 (0 uses)
• WARNING: StructureDefinition/CarequalityImplementer: 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 (0 uses)
• WARNING: StructureDefinition/CarequalityOrganization: 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 (0 uses)

06. Example URLs are not expected to resolve.

• WARNING: Endpoint/CQ-orgEndpoint: Endpoint.extension[2].extension[1].value.ofType(url): No definition could be found for URL value 'https://hl7.org/fhir/us/core/STU6.1/package.tgz' (1 uses)

Errors sorted by type

MSG_DRAFT_SRC_STATUS

SD_PATH_SLICING_DEPRECATED

SD_VALUE_TYPE_REPEAT_HINT

TYPE_SPECIFIC_CHECKS_DT_XHTML_UNKNOWN_HREF

XHTML_URL_INVALID