example from epic

[patrick-werner]

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FHIR Validation Results (filter: warnings)

❌ 1 errors (0 filtered), ⚠️ 55 warnings (0 filtered), ℹ️ 55 hints filtered out — 2026-05-17T14:14:14Z

File	Severity	Details	Location	Code	MessageId
bundle.json	⚠️ warning	Wrong Display Name 'History of Immunization Narrative' for http://loinc.org#11369-6. Valid display is one of 3 choices: 'History of Immunization note' (en-US), 'History of Immunization note' (en-US) or 'Hx of Immunization note' (en-US) (for the language(s) 'en')	Bundle.​entry[0].​resource/*Composition/f45f8nfKW-noKwDpxQo0UIQ4*/.​section[3].​code.​coding[0].​display	invalid	Display_Name_for__should_be_one_of__instead_of
bundle.json	⚠️ warning	A definition for CodeSystem 'urn:oid:1.2.840.114350.1.13.0.1.7.10.768076.4040' could not be found, so the code cannot be validated	Bundle.​entry[1].​resource/*Immunization/eEAE--XrkYnFv04FWNZG8Aw3*/.​site.​coding[0]	not-found
bundle.json	⚠️ warning	A definition for CodeSystem 'urn:oid:1.2.840.114350.1.13.0.1.7.10.768076.4030' could not be found, so the code cannot be validated	Bundle.​entry[1].​resource/*Immunization/eEAE--XrkYnFv04FWNZG8Aw3*/.​route.​coding[0]	not-found
bundle.json	⚠️ warning	Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)	Bundle.​entry[1].​resource	invariant	http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6
bundle.json	⚠️ warning	The concept '69878008' has a status of inactive and its use should be reviewed	Bundle.​entry[2].​resource/*MedicationRequest/ePDJ.​zsf3Jfg2.​MKkAMgW9EcIbsaiB.​y-OTrPS5v2h8Q3*/.​reasonCode[0].​coding[0]	business-rule	INACTIVE_CONCEPT_FOUND
bundle.json	⚠️ warning	A definition for CodeSystem 'urn:oid:1.2.840.114350.1.13.0.1.7.4.798268.7025' could not be found, so the code cannot be validated	Bundle.​entry[2].​resource/*MedicationRequest/ePDJ.​zsf3Jfg2.​MKkAMgW9EcIbsaiB.​y-OTrPS5v2h8Q3*/.​dosageInstruction[0].​route.​coding[1].​system	not-found	UNKNOWN_CODESYSTEM
bundle.json	⚠️ warning	The concept '260548002' has a status of inactive and its use should be reviewed	Bundle.​entry[2].​resource/*MedicationRequest/ePDJ.​zsf3Jfg2.​MKkAMgW9EcIbsaiB.​y-OTrPS5v2h8Q3*/.​dosageInstruction[0].​route.​coding[0]	business-rule	INACTIVE_CONCEPT_FOUND
bundle.json	⚠️ warning	A definition for CodeSystem 'http://epic.com/CodeSystem/dose-rate-type' could not be found, so the code cannot be validated	Bundle.​entry[2].​resource/*MedicationRequest/ePDJ.​zsf3Jfg2.​MKkAMgW9EcIbsaiB.​y-OTrPS5v2h8Q3*/.​dosageInstruction[0].​doseAndRate[0].​type.​coding[0].​system	not-found	UNKNOWN_CODESYSTEM
bundle.json	⚠️ warning	UCUM Codes that contain human readable annotations like {tbl} 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 'tablet' SHOULD contain the annotation (it does not)	Bundle.​entry[2].​resource/*MedicationRequest/ePDJ.​zsf3Jfg2.​MKkAMgW9EcIbsaiB.​y-OTrPS5v2h8Q3*/.​dosageInstruction[0].​doseAndRate[0].​dose.​ofType(Quantity)	business-rule	TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NOT_IN_UNIT
bundle.json	⚠️ warning	A definition for CodeSystem 'http://epic.com/CodeSystem/dose-rate-type' could not be found, so the code cannot be validated	Bundle.​entry[2].​resource/*MedicationRequest/ePDJ.​zsf3Jfg2.​MKkAMgW9EcIbsaiB.​y-OTrPS5v2h8Q3*/.​dosageInstruction[0].​doseAndRate[1].​type.​coding[0]	not-found
bundle.json	⚠️ warning	UCUM Codes that contain human readable annotations like {tbl} 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 'tablet' SHOULD contain the annotation (it does not)	Bundle.​entry[2].​resource/*MedicationRequest/ePDJ.​zsf3Jfg2.​MKkAMgW9EcIbsaiB.​y-OTrPS5v2h8Q3*/.​dosageInstruction[0].​doseAndRate[1].​dose.​ofType(Quantity)	business-rule	TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NOT_IN_UNIT
bundle.json	⚠️ warning	A definition for CodeSystem 'http://epic.com/CodeSystem/dose-rate-type' could not be found, so the code cannot be validated	Bundle.​entry[2].​resource/*MedicationRequest/ePDJ.​zsf3Jfg2.​MKkAMgW9EcIbsaiB.​y-OTrPS5v2h8Q3*/.​dosageInstruction[0].​doseAndRate[2].​type.​coding[0]	not-found
bundle.json	⚠️ warning	UCUM Codes that contain human readable annotations like {tbl} 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 'tablet' SHOULD contain the annotation (it does not)	Bundle.​entry[2].​resource/*MedicationRequest/ePDJ.​zsf3Jfg2.​MKkAMgW9EcIbsaiB.​y-OTrPS5v2h8Q3*/.​dosageInstruction[0].​doseAndRate[2].​dose.​ofType(Quantity)	business-rule	TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NOT_IN_UNIT
bundle.json	⚠️ warning	Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)	Bundle.​entry[2].​resource	invariant	http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6
bundle.json	⚠️ warning	The code system 'http://terminology.hl7.org/CodeSystem/condition-clinical' version '4.0.1' for the versionless include in the ValueSet include is different to the one in the value ('4.0.0')	Bundle.​entry[3].​resource/*Condition/euDDjG6i1-OkhZii5APxOiw3*/.​clinicalStatus.​coding[0].​version	invalid	VALUESET_VALUE_MISMATCH_DEFAULT
bundle.json	⚠️ warning	The code system 'http://terminology.hl7.org/CodeSystem/condition-ver-status' version '4.0.1' for the versionless include in the ValueSet include is different to the one in the value ('4.0.0')	Bundle.​entry[3].​resource/*Condition/euDDjG6i1-OkhZii5APxOiw3*/.​verificationStatus.​coding[0].​version	invalid	VALUESET_VALUE_MISMATCH_DEFAULT
bundle.json	⚠️ warning	Wrong Display Name 'PCOS (polycystic ovarian syndrome)' for http://hl7.org/fhir/sid/icd-9-cm#256.4. Valid display is 'Polycystic ovaries' (for the language(s) 'en')	Bundle.​entry[3].​resource/*Condition/euDDjG6i1-OkhZii5APxOiw3*/.​code.​coding[2].​display	invalid	Display_Name_for__should_be_one_of__instead_of
bundle.json	⚠️ warning	A definition for CodeSystem 'urn:oid:2.16.840.1.113883.3.247.1.1' could not be found, so the code cannot be validated	Bundle.​entry[3].​resource/*Condition/euDDjG6i1-OkhZii5APxOiw3*/.​code.​coding[3].​system	not-found	UNKNOWN_CODESYSTEM
bundle.json	⚠️ warning	Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)	Bundle.​entry[3].​resource	invariant	http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6
bundle.json	⚠️ warning	A definition for CodeSystem 'urn:oid:2.16.840.1.113883.6.253' could not be found, so the code cannot be validated	Bundle.​entry[4].​resource/*Medication/f-UACZVqObr4OGBkxzbW3bQ4*/.​code.​coding[0].​system	not-found	UNKNOWN_CODESYSTEM
bundle.json	⚠️ warning	A definition for CodeSystem 'urn:oid:1.2.840.114350.1.13.0.1.7.4.698288.310' could not be found, so the code cannot be validated	Bundle.​entry[4].​resource/*Medication/f-UACZVqObr4OGBkxzbW3bQ4*/.​form.​coding[0]	not-found
bundle.json	⚠️ warning	Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)	Bundle.​entry[4].​resource/*Medication/f-UACZVqObr4OGBkxzbW3bQ4*/	invariant	http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6
bundle.json	⚠️ warning	No code provided, and a code should be provided from the value set 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type\|4.0.1)	Bundle.​entry[5].​resource/*Organization/ePqMmiCU9E1xOUefB9e7Plw3*/.​identifier[0].​type	code-invalid	Terminology_TX_Code_ValueSet_Ext
bundle.json	⚠️ warning	Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)	Bundle.​entry[5].​resource/*Organization/ePqMmiCU9E1xOUefB9e7Plw3*/	invariant	http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6
bundle.json	⚠️ warning	No code provided, and a code should be provided from the value set 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type\|4.0.1)	Bundle.​entry[6].​resource/*Patient/erXuFYUfucBZaryVksYEcMg3*/.​identifier[0].​type	code-invalid	Terminology_TX_Code_ValueSet_Ext
bundle.json	⚠️ warning	No code provided, and a code should be provided from the value set 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type\|4.0.1)	Bundle.​entry[6].​resource/*Patient/erXuFYUfucBZaryVksYEcMg3*/.​identifier[1].​type	code-invalid	Terminology_TX_Code_ValueSet_Ext
bundle.json	⚠️ warning	A definition for CodeSystem 'http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType' could not be found, so the code cannot be validated	Bundle.​entry[6].​resource/*Patient/erXuFYUfucBZaryVksYEcMg3*/.​identifier[2].​type.​coding[0].​system	not-found	UNKNOWN_CODESYSTEM
bundle.json	⚠️ warning	None of the codings provided are in the value set 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type\|4.0.1), and a coding should come from this value set unless it has no suitable code (note that the validator cannot judge what is suitable) (codes = http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType#um)	Bundle.​entry[6].​resource/*Patient/erXuFYUfucBZaryVksYEcMg3*/.​identifier[2].​type	code-invalid	Terminology_TX_NoValid_2_CC
bundle.json	⚠️ warning	No code provided, and a code should be provided from the value set 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type\|4.0.1)	Bundle.​entry[6].​resource/*Patient/erXuFYUfucBZaryVksYEcMg3*/.​identifier[3].​type	code-invalid	Terminology_TX_Code_ValueSet_Ext
bundle.json	⚠️ warning	No code provided, and a code should be provided from the value set 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type\|4.0.1)	Bundle.​entry[6].​resource/*Patient/erXuFYUfucBZaryVksYEcMg3*/.​identifier[4].​type	code-invalid	Terminology_TX_Code_ValueSet_Ext
bundle.json	⚠️ warning	No code provided, and a code should be provided from the value set 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type\|4.0.1)	Bundle.​entry[6].​resource/*Patient/erXuFYUfucBZaryVksYEcMg3*/.​identifier[5].​type	code-invalid	Terminology_TX_Code_ValueSet_Ext
bundle.json	⚠️ warning	value should not start or finish with whitespace ' Z6129'	Bundle.​entry[6].​resource/*Patient/erXuFYUfucBZaryVksYEcMg3*/.​identifier[5].​value	invalid	Type_Specific_Checks_DT_String_WS
bundle.json	⚠️ warning	No code provided, and a code should be provided from the value set 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type\|4.0.1)	Bundle.​entry[6].​resource/*Patient/erXuFYUfucBZaryVksYEcMg3*/.​identifier[6].​type	code-invalid	Terminology_TX_Code_ValueSet_Ext
bundle.json	⚠️ warning	No code provided, and a code should be provided from the value set 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type\|4.0.1)	Bundle.​entry[6].​resource/*Patient/erXuFYUfucBZaryVksYEcMg3*/.​identifier[7].​type	code-invalid	Terminology_TX_Code_ValueSet_Ext
bundle.json	⚠️ warning	No code provided, and a code should be provided from the value set 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type\|4.0.1)	Bundle.​entry[6].​resource/*Patient/erXuFYUfucBZaryVksYEcMg3*/.​identifier[8].​type	code-invalid	Terminology_TX_Code_ValueSet_Ext
bundle.json	⚠️ warning	No code provided, and a code should be provided from the value set 'MaritalStatus' (http://hl7.org/fhir/ValueSet/marital-status\|4.0.1)	Bundle.​entry[6].​resource/*Patient/erXuFYUfucBZaryVksYEcMg3*/.​maritalStatus	code-invalid	Terminology_TX_Code_ValueSet_Ext
bundle.json	⚠️ warning	A definition for CodeSystem 'urn:oid:1.2.840.114350.1.13.0.1.7.10.768076.4040' could not be found, so the code cannot be validated	Bundle.​entry[1].​resource.​site.​coding[0].​system	not-found	UNKNOWN_CODESYSTEM
bundle.json	⚠️ warning	A definition for CodeSystem 'urn:oid:1.2.840.114350.1.13.0.1.7.10.768076.4030' could not be found, so the code cannot be validated	Bundle.​entry[1].​resource.​route.​coding[0].​system	not-found	UNKNOWN_CODESYSTEM
bundle.json	⚠️ warning	A definition for CodeSystem 'urn:oid:2.16.840.1.113883.6.68' could not be found, so the code cannot be validated	Bundle.​entry[4].​resource/*Medication/f-UACZVqObr4OGBkxzbW3bQ4*/.​code.​coding[1].​system	not-found	UNKNOWN_CODESYSTEM
bundle.json	⚠️ warning	A definition for CodeSystem 'urn:oid:2.16.840.1.113883.6.162' could not be found, so the code cannot be validated	Bundle.​entry[4].​resource/*Medication/f-UACZVqObr4OGBkxzbW3bQ4*/.​code.​coding[2].​system	not-found	UNKNOWN_CODESYSTEM
bundle.json	⚠️ warning	A definition for CodeSystem 'urn:oid:1.2.840.114350.1.13.0.1.7.4.698288.310' could not be found, so the code cannot be validated	Bundle.​entry[4].​resource/*Medication/f-UACZVqObr4OGBkxzbW3bQ4*/.​form.​coding[0].​system	not-found	UNKNOWN_CODESYSTEM
bundle.json	❌ error	Slice 'Bundle.entry:composition': a matching slice is required, but not found (from http://hl7.eu/fhir/eps/StructureDefinition/bundle-eu-eps\|1.0.0-ci-build). Note that other slices are allowed in addition to this required slice	Bundle	structure	Validation_VAL_Profile_Minimum_SLICE
bundle.json	⚠️ warning	The concept '69878008' has a status of inactive and its use should be reviewed	Bundle.​entry[2].​resource.​reasonCode[0].​coding[0]	business-rule	INACTIVE_CONCEPT_FOUND
bundle.json	⚠️ warning	A definition for CodeSystem 'urn:oid:1.2.840.114350.1.13.0.1.7.4.798268.7025' could not be found, so the code cannot be validated	Bundle.​entry[2].​resource.​dosageInstruction[0].​route.​coding[1].​system	not-found	UNKNOWN_CODESYSTEM
bundle.json	⚠️ warning	The concept '260548002' has a status of inactive and its use should be reviewed	Bundle.​entry[2].​resource.​dosageInstruction[0].​route.​coding[0]	business-rule	INACTIVE_CONCEPT_FOUND
bundle.json	⚠️ warning	A definition for CodeSystem 'http://epic.com/CodeSystem/dose-rate-type' could not be found, so the code cannot be validated	Bundle.​entry[2].​resource.​dosageInstruction[0].​doseAndRate[0].​type.​coding[0].​system	not-found	UNKNOWN_CODESYSTEM
bundle.json	⚠️ warning	UCUM Codes that contain human readable annotations like {tbl} 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 'tablet' SHOULD contain the annotation (it does not)	Bundle.​entry[2].​resource.​dosageInstruction[0].​doseAndRate[0].​dose.​ofType(Quantity)	business-rule	TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NOT_IN_UNIT
bundle.json	⚠️ warning	A definition for CodeSystem 'http://epic.com/CodeSystem/dose-rate-type' could not be found, so the code cannot be validated	Bundle.​entry[2].​resource.​dosageInstruction[0].​doseAndRate[1].​type.​coding[0]	not-found
bundle.json	⚠️ warning	UCUM Codes that contain human readable annotations like {tbl} 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 'tablet' SHOULD contain the annotation (it does not)	Bundle.​entry[2].​resource.​dosageInstruction[0].​doseAndRate[1].​dose.​ofType(Quantity)	business-rule	TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NOT_IN_UNIT
bundle.json	⚠️ warning	A definition for CodeSystem 'http://epic.com/CodeSystem/dose-rate-type' could not be found, so the code cannot be validated	Bundle.​entry[2].​resource.​dosageInstruction[0].​doseAndRate[2].​type.​coding[0]	not-found
bundle.json	⚠️ warning	UCUM Codes that contain human readable annotations like {tbl} 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 'tablet' SHOULD contain the annotation (it does not)	Bundle.​entry[2].​resource.​dosageInstruction[0].​doseAndRate[2].​dose.​ofType(Quantity)	business-rule	TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NOT_IN_UNIT
bundle.json	⚠️ warning	The code system 'http://terminology.hl7.org/CodeSystem/condition-clinical' version '4.0.1' for the versionless include in the ValueSet include is different to the one in the value ('4.0.0')	Bundle.​entry[3].​resource.​clinicalStatus.​coding[0].​version	invalid	VALUESET_VALUE_MISMATCH_DEFAULT
bundle.json	⚠️ warning	The code system 'http://terminology.hl7.org/CodeSystem/condition-ver-status' version '4.0.1' for the versionless include in the ValueSet include is different to the one in the value ('4.0.0')	Bundle.​entry[3].​resource.​verificationStatus.​coding[0].​version	invalid	VALUESET_VALUE_MISMATCH_DEFAULT
bundle.json	⚠️ warning	Wrong Display Name 'PCOS (polycystic ovarian syndrome)' for http://hl7.org/fhir/sid/icd-9-cm#256.4. Valid display is 'Polycystic ovaries' (for the language(s) 'en')	Bundle.​entry[3].​resource.​code.​coding[2].​display	invalid	Display_Name_for__should_be_one_of__instead_of
bundle.json	⚠️ warning	A definition for CodeSystem 'urn:oid:2.16.840.1.113883.3.247.1.1' could not be found, so the code cannot be validated	Bundle.​entry[3].​resource.​code.​coding[3].​system	not-found	UNKNOWN_CODESYSTEM
bundle.json	⚠️ warning	No code provided, and a code should be provided from the value set 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type\|4.0.1)	Bundle.​entry[5].​resource.​identifier[0].​type	code-invalid	Terminology_TX_Code_ValueSet_Ext

Artifacts

Download fhir-validation-html-report (includes validation.html and validation.json)

Validation run: https://github.com/patrick-werner/ehds-examples/actions/runs/25993177776