FHIR IG analytics| Package | gov.healthit.ecqi.ecqms |
| Resource Type | Bundle |
| Id | validation-oo.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"type": "collection",
"timestamp": "2026-03-13T02:41:17.980+00:00",
"entry": [
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/ImplementationGuide-gov.healthit.ecqi.ecqms",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/StructureDefinition/ImplementationGuide#ig-0"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: 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}'))'"
},
"expression": [
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{
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"valueCode": "IG_DEPENDENCY_VERSION_WARNING_OLD"
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"severity": "warning",
"code": "business-rule",
"details": {
"text": "The ImplementationGuide uses package hl7.terminology.r4#5.5.0 released on 2024-03-09, but the most recent appropriate version is 7.1.0. This reference is getting old and the more recent version should be considered"
},
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{
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{
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{
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"code": "business-rule",
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"text": "The ImplementationGuide uses package hl7.fhir.us.cqfmeasures#3.0.0 released on 2022-04-28, but the most recent appropriate version is 5.0.0. This reference is getting old and the more recent version should be considered"
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{
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"id": "Library-AHAOverall",
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{
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{
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
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],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/AHAOverall: Library.extension[2].value.ofType(Reference)"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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],
"severity": "warning",
"code": "invalid",
"details": {
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{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/AHAOverall: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/AHAOverall: Library.relatedArtifact[1].resource"
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{
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/AHAOverall: Library.relatedArtifact[2].resource"
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{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 355
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
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],
"severity": "warning",
"code": "code-invalid",
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"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
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"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
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],
"severity": "warning",
"code": "code-invalid",
"details": {
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"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
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"expression": [
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{
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"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
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],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/AHAOverall vs https://madie.cms.gov/Library/AHAOverall"
},
"expression": [
"/scratch/repo/input/resources/library/AHAOverall"
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}
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}
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"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
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"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
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"expression": [
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{
"extension": [
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 96
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
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"expression": [
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{
"extension": [
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{
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/AdultOutpatientEncounters: Library.relatedArtifact[1].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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{
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"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/AdultOutpatientEncounters: Library.relatedArtifact[2].resource"
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{
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"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/AdultOutpatientEncounters: Library.relatedArtifact[3].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
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"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
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"expression": [
"Library/AdultOutpatientEncounters: Library"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/AdultOutpatientEncounters vs https://madie.cms.gov/Library/AdultOutpatientEncounters"
},
"expression": [
"/scratch/repo/input/resources/library/AdultOutpatientEncounters"
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}
]
}
},
{
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"resourceType": "OperationOutcome",
"id": "Library-AdvancedIllnessandFrailty",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 71
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{
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{
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{
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"valueCode": "INACTIVE_DISPLAY_FOUND"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "'Lives in a nursing home (finding)' is no longer considered a correct display for code '160734000' (status = inactive). The correct display is one of Lives in nursing home (finding),Lives in nursing home"
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"expression": [
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{
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"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
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"valueString": "InstanceValidator"
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/AdvancedIllnessandFrailty: Library.extension[4].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 97
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
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"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 117
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/AdvancedIllnessandFrailty: Library.relatedArtifact[0].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 121
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/AdvancedIllnessandFrailty: Library.relatedArtifact[1].resource"
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{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 125
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/AdvancedIllnessandFrailty: Library.relatedArtifact[2].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 129
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Library/AdvancedIllnessandFrailty: Library.relatedArtifact[3].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 133
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/AdvancedIllnessandFrailty: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40188
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/AdvancedIllnessandFrailty: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/AdvancedIllnessandFrailty vs https://madie.cms.gov/Library/AdvancedIllnessandFrailty"
},
"expression": [
"/scratch/repo/input/resources/library/AdvancedIllnessandFrailty"
]
}
]
}
},
{
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"resource": {
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"id": "Library-AlaraCTClinicalFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/AlaraCTClinicalFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/AlaraCTClinicalFHIR: Library.extension[4].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 97
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/AlaraCTClinicalFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 116
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/AlaraCTClinicalFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 120
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/AlaraCTClinicalFHIR: Library.relatedArtifact[1].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 124
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/AlaraCTClinicalFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 128
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/AlaraCTClinicalFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 132
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/AlaraCTClinicalFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 136
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 86
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/AlaraCommonFunctions|1.5.000'"
},
"expression": [
"Library/AlaraCTClinicalFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/AlaraCTClinicalFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/AlaraCTClinicalFHIR vs https://madie.cms.gov/Library/AlaraCTClinicalFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/AlaraCTClinicalFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-AlaraCommonFunctions",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-AlaraCommonFunctions",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 209
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
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},
"expression": [
"Library/AlaraCommonFunctions: Library.extension[21].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 216
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/AlaraCommonFunctions: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 236
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/AlaraCommonFunctions: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 240
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/AlaraCommonFunctions: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8785
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/AlaraCommonFunctions: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/AlaraCommonFunctions vs https://madie.cms.gov/Library/AlaraCommonFunctions"
},
"expression": [
"/scratch/repo/input/resources/library/AlaraCommonFunctions"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-Antibiotic",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-Antibiotic",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/Antibiotic: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/Antibiotic: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 96
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/Antibiotic: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 100
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/Antibiotic: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/Antibiotic: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 108
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Library/Antibiotic: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10835
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/Antibiotic: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/Antibiotic vs https://madie.cms.gov/Library/Antibiotic"
},
"expression": [
"/scratch/repo/input/resources/library/Antibiotic"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-AntidepressantMedicationManagementFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-AntidepressantMedicationManagementFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/AntidepressantMedicationManagementFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/AntidepressantMedicationManagementFHIR: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/AntidepressantMedicationManagementFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 95
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/AntidepressantMedicationManagementFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 99
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/AntidepressantMedicationManagementFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/AntidepressantMedicationManagementFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/AntidepressantMedicationManagementFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Library/AntidepressantMedicationManagementFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 115
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/AntidepressantMedicationManagementFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/AntidepressantMedicationManagementFHIR: Library.relatedArtifact[6].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 123
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/AntidepressantMedicationManagementFHIR: Library.relatedArtifact[7].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 318
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Library/AntidepressantMedicationManagementFHIR: Library.dataRequirement[2].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 319
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Library/AntidepressantMedicationManagementFHIR: Library.dataRequirement[2].extension[0].url"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61173
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/AntidepressantMedicationManagementFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/AntidepressantMedicationManagementFHIR vs https://madie.cms.gov/Library/AntidepressantMedicationManagementFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/AntidepressantMedicationManagementFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-AppropriateDXAScansForWomenUnder65FHIR",
"resource": {
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"id": "Library-AppropriateDXAScansForWomenUnder65FHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/AppropriateDXAScansForWomenUnder65FHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 139
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/AppropriateDXAScansForWomenUnder65FHIR: Library.extension[11].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 146
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/AppropriateDXAScansForWomenUnder65FHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 165
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/AppropriateDXAScansForWomenUnder65FHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 169
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/AppropriateDXAScansForWomenUnder65FHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 173
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/AppropriateDXAScansForWomenUnder65FHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 177
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/AppropriateDXAScansForWomenUnder65FHIR: Library.relatedArtifact[3].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 181
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/AppropriateDXAScansForWomenUnder65FHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 185
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Library/AppropriateDXAScansForWomenUnder65FHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 189
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/AppropriateDXAScansForWomenUnder65FHIR: Library.relatedArtifact[6].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 123784
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/AppropriateDXAScansForWomenUnder65FHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/AppropriateDXAScansForWomenUnder65FHIR vs https://madie.cms.gov/Library/AppropriateDXAScansForWomenUnder65FHIR"
},
"expression": [
"/scratch/repo/input/resources/library/AppropriateDXAScansForWomenUnder65FHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-AppropriateTestingforPharyngitisFHIR",
"resource": {
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"id": "Library-AppropriateTestingforPharyngitisFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
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},
"expression": [
"Library/AppropriateTestingforPharyngitisFHIR: Library"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/AppropriateTestingforPharyngitisFHIR: Library.extension[2].value.ofType(Reference)"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/AppropriateTestingforPharyngitisFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 102
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/AppropriateTestingforPharyngitisFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 106
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/AppropriateTestingforPharyngitisFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 110
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/AppropriateTestingforPharyngitisFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 114
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/AppropriateTestingforPharyngitisFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Antibiotic|1.7.000'"
},
"expression": [
"Library/AppropriateTestingforPharyngitisFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 122
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/AppropriateTestingforPharyngitisFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 126
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/AppropriateTestingforPharyngitisFHIR: Library.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 513
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/AppropriateTestingforPharyngitisFHIR: Library.dataRequirement[24].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 514
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/AppropriateTestingforPharyngitisFHIR: Library.dataRequirement[24].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81615
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/AppropriateTestingforPharyngitisFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/AppropriateTestingforPharyngitisFHIR vs https://madie.cms.gov/Library/AppropriateTestingforPharyngitisFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/AppropriateTestingforPharyngitisFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-AppropriateTreatmentforSTEMIFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-AppropriateTreatmentforSTEMIFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1124
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/AppropriateTreatmentforSTEMIFHIR: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1562
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/AppropriateTreatmentforSTEMIFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1693
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/AppropriateTreatmentforSTEMIFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1821
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/AppropriateTreatmentforSTEMIFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1947
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/AppropriateTreatmentforSTEMIFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2069
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/AppropriateTreatmentforSTEMIFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10338
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/AppropriateTreatmentforSTEMIFHIR: Library.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 14730
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/AppropriateTreatmentforSTEMIFHIR: Library.dataRequirement[17].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 14958
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Library/AppropriateTreatmentforSTEMIFHIR: Library.dataRequirement[18].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 14957
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Library/AppropriateTreatmentforSTEMIFHIR: Library.dataRequirement[18].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15432
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Library/AppropriateTreatmentforSTEMIFHIR: Library.dataRequirement[19].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15431
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Library/AppropriateTreatmentforSTEMIFHIR: Library.dataRequirement[19].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16601
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/AppropriateTreatmentforSTEMIFHIR: Library.dataRequirement[22].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17470
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/AppropriateTreatmentforSTEMIFHIR: Library.dataRequirement[25].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17798
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/AppropriateTreatmentforSTEMIFHIR: Library.dataRequirement[26].codeFilter[1].code[0]"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Library.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 102
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 106
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 110
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 114
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 122
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 126
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Antibiotic|1.7.000'"
},
"expression": [
"Library/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Library.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 76931
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR vs https://madie.cms.gov/Library/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 64
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '456381000124102' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Library.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Library.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 102
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 106
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 110
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 114
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 267
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Library.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 317
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '456381000124102' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Library.dataRequirement[7].codeFilter[0].code[0].code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 324
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Library.dataRequirement[7].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 331
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Library.dataRequirement[7].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 332
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Library.dataRequirement[7].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47852
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR vs https://madie.cms.gov/Library/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-BreastCancerScreeningFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-BreastCancerScreeningFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/BreastCancerScreeningFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/BreastCancerScreeningFHIR: Library.extension[4].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 97
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/BreastCancerScreeningFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 116
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/BreastCancerScreeningFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 120
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/BreastCancerScreeningFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 124
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/BreastCancerScreeningFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 128
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/BreastCancerScreeningFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 132
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 92
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/AdultOutpatientEncounters|4.11.000'"
},
"expression": [
"Library/BreastCancerScreeningFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 136
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/BreastCancerScreeningFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 140
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/BreastCancerScreeningFHIR: Library.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 144
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/PalliativeCare|1.11.000'"
},
"expression": [
"Library/BreastCancerScreeningFHIR: Library.relatedArtifact[7].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 148
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 92
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/AdvancedIllnessandFrailty|1.16.000'"
},
"expression": [
"Library/BreastCancerScreeningFHIR: Library.relatedArtifact[8].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/BreastCancerScreeningFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/BreastCancerScreeningFHIR vs https://madie.cms.gov/Library/BreastCancerScreeningFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/BreastCancerScreeningFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CADBetaBlockerTherapyPriorMIorLVSDFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CADBetaBlockerTherapyPriorMIorLVSDFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Library.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 102
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 106
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 110
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 114
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/AHAOverall|2.8.000'"
},
"expression": [
"Library/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 665
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Library.dataRequirement[17].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 140212
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CADBetaBlockerTherapyPriorMIorLVSDFHIR vs https://madie.cms.gov/Library/CADBetaBlockerTherapyPriorMIorLVSDFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/CADBetaBlockerTherapyPriorMIorLVSDFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS1017HHFIFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS1017HHFIFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS1017HHFIFHIR: Library.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS1017HHFIFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS1017HHFIFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS1017HHFIFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS1017HHFIFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 115
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS1017HHFIFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS1017HHFIFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 123
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Library/CMS1017HHFIFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 548
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Library/CMS1017HHFIFHIR: Library.dataRequirement[4].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 549
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Library/CMS1017HHFIFHIR: Library.dataRequirement[4].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30429
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS1017HHFIFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS1017HHFIFHIR vs https://madie.cms.gov/Library/CMS1017HHFIFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/CMS1017HHFIFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS1028FHIRPCSevereOBComps",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS1028FHIRPCSevereOBComps",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS1028FHIRPCSevereOBComps: Library.extension[3].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS1028FHIRPCSevereOBComps: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 110
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS1028FHIRPCSevereOBComps: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 114
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS1028FHIRPCSevereOBComps: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS1028FHIRPCSevereOBComps: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 122
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS1028FHIRPCSevereOBComps: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 126
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/PCMaternal|5.19.000'"
},
"expression": [
"Library/CMS1028FHIRPCSevereOBComps: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 130
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS1028FHIRPCSevereOBComps: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 807
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS1028FHIRPCSevereOBComps: Library.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 820
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS1028FHIRPCSevereOBComps: Library.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 833
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS1028FHIRPCSevereOBComps: Library.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57483
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS1028FHIRPCSevereOBComps: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS1028FHIRPCSevereOBComps vs https://madie.cms.gov/Library/CMS1028FHIRPCSevereOBComps"
},
"expression": [
"/scratch/repo/input/resources/library/CMS1028FHIRPCSevereOBComps"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS104FHIRSTKDCAntithrombotic",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS104FHIRSTKDCAntithrombotic",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS104FHIRSTKDCAntithrombotic: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS104FHIRSTKDCAntithrombotic: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17913
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS104FHIRSTKDCAntithrombotic: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS104FHIRSTKDCAntithrombotic vs https://madie.cms.gov/Library/CMS104FHIRSTKDCAntithrombotic"
},
"expression": [
"/scratch/repo/input/resources/library/CMS104FHIRSTKDCAntithrombotic"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS1074AlaraCTIQRFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS1074AlaraCTIQRFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS1074AlaraCTIQRFHIR: Library.extension[3].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS1074AlaraCTIQRFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 110
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS1074AlaraCTIQRFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 114
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS1074AlaraCTIQRFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS1074AlaraCTIQRFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 122
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS1074AlaraCTIQRFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 126
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS1074AlaraCTIQRFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 130
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 86
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/AlaraCommonFunctions|1.5.000'"
},
"expression": [
"Library/CMS1074AlaraCTIQRFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 231
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Library/CMS1074AlaraCTIQRFHIR: Library.dataRequirement[2].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 232
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Library/CMS1074AlaraCTIQRFHIR: Library.dataRequirement[2].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8655
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS1074AlaraCTIQRFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS1074AlaraCTIQRFHIR vs https://madie.cms.gov/Library/CMS1074AlaraCTIQRFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/CMS1074AlaraCTIQRFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS108VTEProphylaxisFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS108VTEProphylaxisFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS108VTEProphylaxisFHIR: Library.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS108VTEProphylaxisFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS108VTEProphylaxisFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS108VTEProphylaxisFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS108VTEProphylaxisFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 115
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS108VTEProphylaxisFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS108VTEProphylaxisFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 123
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/TJCOverall|8.15.000'"
},
"expression": [
"Library/CMS108VTEProphylaxisFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 127
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/VTE|8.9.000'"
},
"expression": [
"Library/CMS108VTEProphylaxisFHIR: Library.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 618
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS108VTEProphylaxisFHIR: Library.dataRequirement[12].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 625
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/CMS108VTEProphylaxisFHIR: Library.dataRequirement[12].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 626
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/CMS108VTEProphylaxisFHIR: Library.dataRequirement[12].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 648
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS108VTEProphylaxisFHIR: Library.dataRequirement[14].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 664
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS108VTEProphylaxisFHIR: Library.dataRequirement[15].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 677
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS108VTEProphylaxisFHIR: Library.dataRequirement[16].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 690
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS108VTEProphylaxisFHIR: Library.dataRequirement[17].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 703
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS108VTEProphylaxisFHIR: Library.dataRequirement[18].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 716
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS108VTEProphylaxisFHIR: Library.dataRequirement[19].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 101857
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS108VTEProphylaxisFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS108VTEProphylaxisFHIR vs https://madie.cms.gov/Library/CMS108VTEProphylaxisFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/CMS108VTEProphylaxisFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS1206ALARACTOQRFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS1206ALARACTOQRFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS1206ALARACTOQRFHIR: Library.extension[3].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS1206ALARACTOQRFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 110
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS1206ALARACTOQRFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 114
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS1206ALARACTOQRFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS1206ALARACTOQRFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 122
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS1206ALARACTOQRFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 126
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS1206ALARACTOQRFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 130
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 86
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/AlaraCommonFunctions|1.5.000'"
},
"expression": [
"Library/CMS1206ALARACTOQRFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8559
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS1206ALARACTOQRFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS1206ALARACTOQRFHIR vs https://madie.cms.gov/Library/CMS1206ALARACTOQRFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/CMS1206ALARACTOQRFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS1218HHRFFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS1218HHRFFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 139
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS1218HHRFFHIR: Library.extension[11].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 146
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS1218HHRFFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 166
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS1218HHRFFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 170
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS1218HHRFFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 174
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS1218HHRFFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 178
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS1218HHRFFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 182
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS1218HHRFFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 186
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/HospitalHarm|1.1.000'"
},
"expression": [
"Library/CMS1218HHRFFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65116
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS1218HHRFFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS1218HHRFFHIR vs https://madie.cms.gov/Library/CMS1218HHRFFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/CMS1218HHRFFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS1244ECCQHOQRFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS1244ECCQHOQRFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 64
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '5751000175101' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/CMS1244ECCQHOQRFHIR: Library.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS1244ECCQHOQRFHIR: Library.extension[3].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS1244ECCQHOQRFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 110
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS1244ECCQHOQRFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 114
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS1244ECCQHOQRFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS1244ECCQHOQRFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 122
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS1244ECCQHOQRFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 126
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS1244ECCQHOQRFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 437
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS1244ECCQHOQRFHIR: Library.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 462
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS1244ECCQHOQRFHIR: Library.dataRequirement[4].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 475
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS1244ECCQHOQRFHIR: Library.dataRequirement[5].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 501
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '5751000175101' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/CMS1244ECCQHOQRFHIR: Library.dataRequirement[8].codeFilter[0].code[0].code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 516
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS1244ECCQHOQRFHIR: Library.dataRequirement[9].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22721
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS1244ECCQHOQRFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS1244ECCQHOQRFHIR vs https://madie.cms.gov/Library/CMS1244ECCQHOQRFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/CMS1244ECCQHOQRFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS1264ECCQREHQRFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS1264ECCQREHQRFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS1264ECCQREHQRFHIR: Library.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS1264ECCQREHQRFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS1264ECCQREHQRFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS1264ECCQREHQRFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS1264ECCQREHQRFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 115
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS1264ECCQREHQRFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS1264ECCQREHQRFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 392
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Library/CMS1264ECCQREHQRFHIR: Library.dataRequirement[4].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 393
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Library/CMS1264ECCQREHQRFHIR: Library.dataRequirement[4].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 410
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS1264ECCQREHQRFHIR: Library.dataRequirement[4].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 423
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS1264ECCQREHQRFHIR: Library.dataRequirement[5].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 437
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS1264ECCQREHQRFHIR: Library.dataRequirement[6].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 442
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS1264ECCQREHQRFHIR: Library.dataRequirement[6].codeFilter[2].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 455
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS1264ECCQREHQRFHIR: Library.dataRequirement[7].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18369
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS1264ECCQREHQRFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS1264ECCQREHQRFHIR vs https://madie.cms.gov/Library/CMS1264ECCQREHQRFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/CMS1264ECCQREHQRFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS190VTEProphylaxisICUFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS190VTEProphylaxisICUFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS190VTEProphylaxisICUFHIR: Library.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS190VTEProphylaxisICUFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS190VTEProphylaxisICUFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS190VTEProphylaxisICUFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS190VTEProphylaxisICUFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 115
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS190VTEProphylaxisICUFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS190VTEProphylaxisICUFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 123
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/TJCOverall|8.15.000'"
},
"expression": [
"Library/CMS190VTEProphylaxisICUFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 127
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/VTE|8.9.000'"
},
"expression": [
"Library/CMS190VTEProphylaxisICUFHIR: Library.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 616
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS190VTEProphylaxisICUFHIR: Library.dataRequirement[12].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 623
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/CMS190VTEProphylaxisICUFHIR: Library.dataRequirement[12].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 624
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/CMS190VTEProphylaxisICUFHIR: Library.dataRequirement[12].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 646
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS190VTEProphylaxisICUFHIR: Library.dataRequirement[14].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 662
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS190VTEProphylaxisICUFHIR: Library.dataRequirement[15].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 675
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS190VTEProphylaxisICUFHIR: Library.dataRequirement[16].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 688
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS190VTEProphylaxisICUFHIR: Library.dataRequirement[17].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 701
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS190VTEProphylaxisICUFHIR: Library.dataRequirement[18].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 714
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS190VTEProphylaxisICUFHIR: Library.dataRequirement[19].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 99937
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS190VTEProphylaxisICUFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS190VTEProphylaxisICUFHIR vs https://madie.cms.gov/Library/CMS190VTEProphylaxisICUFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/CMS190VTEProphylaxisICUFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS334FHIRPCCesareanBirth",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS334FHIRPCCesareanBirth",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS334FHIRPCCesareanBirth: Library.extension[6].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS334FHIRPCCesareanBirth: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 131
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS334FHIRPCCesareanBirth: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 135
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS334FHIRPCCesareanBirth: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 139
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS334FHIRPCCesareanBirth: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 143
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS334FHIRPCCesareanBirth: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 147
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/PCMaternal|5.19.000'"
},
"expression": [
"Library/CMS334FHIRPCCesareanBirth: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 151
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS334FHIRPCCesareanBirth: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 384
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS334FHIRPCCesareanBirth: Library.dataRequirement[6].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17194
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS334FHIRPCCesareanBirth: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS334FHIRPCCesareanBirth vs https://madie.cms.gov/Library/CMS334FHIRPCCesareanBirth"
},
"expression": [
"/scratch/repo/input/resources/library/CMS334FHIRPCCesareanBirth"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS506FHIRSafeUseofOpioids",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS506FHIRSafeUseofOpioids",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS506FHIRSafeUseofOpioids: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS506FHIRSafeUseofOpioids: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 96
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS506FHIRSafeUseofOpioids: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 100
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS506FHIRSafeUseofOpioids: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS506FHIRSafeUseofOpioids: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 108
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/CMS506FHIRSafeUseofOpioids: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 112
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS506FHIRSafeUseofOpioids: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 116
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS506FHIRSafeUseofOpioids: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 347
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS506FHIRSafeUseofOpioids: Library.dataRequirement[8].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26317
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS506FHIRSafeUseofOpioids: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS506FHIRSafeUseofOpioids vs https://madie.cms.gov/Library/CMS506FHIRSafeUseofOpioids"
},
"expression": [
"/scratch/repo/input/resources/library/CMS506FHIRSafeUseofOpioids"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS71FHIRSTKAnticoagAFFlutter",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS71FHIRSTKAnticoagAFFlutter",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS71FHIRSTKAnticoagAFFlutter: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS71FHIRSTKAnticoagAFFlutter: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 96
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS71FHIRSTKAnticoagAFFlutter: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 100
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS71FHIRSTKAnticoagAFFlutter: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS71FHIRSTKAnticoagAFFlutter: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 108
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS71FHIRSTKAnticoagAFFlutter: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 112
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS71FHIRSTKAnticoagAFFlutter: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 116
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/TJCOverall|8.15.000'"
},
"expression": [
"Library/CMS71FHIRSTKAnticoagAFFlutter: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 265
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS71FHIRSTKAnticoagAFFlutter: Library.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24102
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS71FHIRSTKAnticoagAFFlutter: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS71FHIRSTKAnticoagAFFlutter vs https://madie.cms.gov/Library/CMS71FHIRSTKAnticoagAFFlutter"
},
"expression": [
"/scratch/repo/input/resources/library/CMS71FHIRSTKAnticoagAFFlutter"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS72FHIRSTKAntithromboticDay2",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS72FHIRSTKAntithromboticDay2",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS72FHIRSTKAntithromboticDay2: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS72FHIRSTKAntithromboticDay2: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 96
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS72FHIRSTKAntithromboticDay2: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 100
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS72FHIRSTKAntithromboticDay2: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS72FHIRSTKAntithromboticDay2: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 108
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS72FHIRSTKAntithromboticDay2: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 112
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS72FHIRSTKAntithromboticDay2: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 116
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/TJCOverall|8.15.000'"
},
"expression": [
"Library/CMS72FHIRSTKAntithromboticDay2: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 341
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS72FHIRSTKAntithromboticDay2: Library.dataRequirement[4].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23834
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS72FHIRSTKAntithromboticDay2: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS72FHIRSTKAntithromboticDay2 vs https://madie.cms.gov/Library/CMS72FHIRSTKAntithromboticDay2"
},
"expression": [
"/scratch/repo/input/resources/library/CMS72FHIRSTKAntithromboticDay2"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS816HHHypoFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS816HHHypoFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS816HHHypoFHIR: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS816HHHypoFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 96
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS816HHHypoFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 100
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS816HHHypoFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS816HHHypoFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 108
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS816HHHypoFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 112
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS816HHHypoFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 247
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS816HHHypoFHIR: Library.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 264
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Library/CMS816HHHypoFHIR: Library.dataRequirement[2].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 265
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Library/CMS816HHHypoFHIR: Library.dataRequirement[2].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 12931
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS816HHHypoFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS816HHHypoFHIR vs https://madie.cms.gov/Library/CMS816HHHypoFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/CMS816HHHypoFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS819HHORAEFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS819HHORAEFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS819HHORAEFHIR: Library.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS819HHORAEFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS819HHORAEFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS819HHORAEFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS819HHORAEFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 115
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS819HHORAEFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS819HHORAEFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 127
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://cts.nlm.nih.gov/fhir/cs/hsloc'"
},
"expression": [
"Library/CMS819HHORAEFHIR: Library.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 254
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS819HHORAEFHIR: Library.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 13875
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS819HHORAEFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS819HHORAEFHIR vs https://madie.cms.gov/Library/CMS819HHORAEFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/CMS819HHORAEFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS826HHPIFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS826HHPIFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS826HHPIFHIR: Library.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS826HHPIFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS826HHPIFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS826HHPIFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS826HHPIFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 115
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS826HHPIFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS826HHPIFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 312
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS826HHPIFHIR: Library.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 340
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS826HHPIFHIR: Library.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 368
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS826HHPIFHIR: Library.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 402
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/CMS826HHPIFHIR: Library.dataRequirement[4].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 403
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/CMS826HHPIFHIR: Library.dataRequirement[4].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 426
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/CMS826HHPIFHIR: Library.dataRequirement[5].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 427
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/CMS826HHPIFHIR: Library.dataRequirement[5].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17250
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS826HHPIFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS826HHPIFHIR vs https://madie.cms.gov/Library/CMS826HHPIFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/CMS826HHPIFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS832HHAKIFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS832HHAKIFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS832HHAKIFHIR: Library.extension[6].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS832HHAKIFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 131
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS832HHAKIFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 135
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS832HHAKIFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 139
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS832HHAKIFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 143
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS832HHAKIFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 147
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS832HHAKIFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 542
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/CMS832HHAKIFHIR: Library.dataRequirement[11].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 543
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/CMS832HHAKIFHIR: Library.dataRequirement[11].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 559
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/CMS832HHAKIFHIR: Library.dataRequirement[12].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 560
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/CMS832HHAKIFHIR: Library.dataRequirement[12].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34763
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS832HHAKIFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS832HHAKIFHIR vs https://madie.cms.gov/Library/CMS832HHAKIFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/CMS832HHAKIFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS871HHHyperFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS871HHHyperFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS871HHHyperFHIR: Library.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS871HHHyperFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS871HHHyperFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS871HHHyperFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS871HHHyperFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 115
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS871HHHyperFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS871HHHyperFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 302
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS871HHHyperFHIR: Library.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 327
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Library/CMS871HHHyperFHIR: Library.dataRequirement[3].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 328
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Library/CMS871HHHyperFHIR: Library.dataRequirement[3].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 366
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS871HHHyperFHIR: Library.dataRequirement[6].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23050
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS871HHHyperFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS871HHHyperFHIR vs https://madie.cms.gov/Library/CMS871HHHyperFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/CMS871HHHyperFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS986FHIRMalnutritionScore",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS986FHIRMalnutritionScore",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS986FHIRMalnutritionScore: Library.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS986FHIRMalnutritionScore: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS986FHIRMalnutritionScore: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS986FHIRMalnutritionScore: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS986FHIRMalnutritionScore: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 115
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS986FHIRMalnutritionScore: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS986FHIRMalnutritionScore: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 123
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/CMS986FHIRMalnutritionScore: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 370
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS986FHIRMalnutritionScore: Library.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 398
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS986FHIRMalnutritionScore: Library.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30432
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS986FHIRMalnutritionScore: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS986FHIRMalnutritionScore vs https://madie.cms.gov/Library/CMS986FHIRMalnutritionScore"
},
"expression": [
"/scratch/repo/input/resources/library/CMS986FHIRMalnutritionScore"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMS996FHIRAptTxforSTEMI",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMS996FHIRAptTxforSTEMI",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 64
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'EMER' for http://terminology.hl7.org/CodeSystem/v3-ActCode#EMER. Valid display is 'emergency' (en) (for the language(s) 'en')"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.extension[0].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 120
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.extension[8].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 127
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.extension[9].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 153
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.extension[13].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 160
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 180
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 184
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 188
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 192
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 196
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 200
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 582
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 609
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 639
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 685
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.dataRequirement[6].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 712
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.dataRequirement[7].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 950
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.dataRequirement[30].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 955
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.dataRequirement[31].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 956
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.dataRequirement[31].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 973
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.dataRequirement[32].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 974
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.dataRequirement[32].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1012
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.dataRequirement[35].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1041
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.dataRequirement[38].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1062
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library.dataRequirement[40].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70975
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMS996FHIRAptTxforSTEMI: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMS996FHIRAptTxforSTEMI vs https://madie.cms.gov/Library/CMS996FHIRAptTxforSTEMI"
},
"expression": [
"/scratch/repo/input/resources/library/CMS996FHIRAptTxforSTEMI"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMSFHIR529HybridHospitalWideReadmission",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMSFHIR529HybridHospitalWideReadmission",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMSFHIR529HybridHospitalWideReadmission: Library.extension[4].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 97
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMSFHIR529HybridHospitalWideReadmission: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 117
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMSFHIR529HybridHospitalWideReadmission: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 121
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMSFHIR529HybridHospitalWideReadmission: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 125
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMSFHIR529HybridHospitalWideReadmission: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 129
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMSFHIR529HybridHospitalWideReadmission: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 133
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMSFHIR529HybridHospitalWideReadmission: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 352
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMSFHIR529HybridHospitalWideReadmission: Library.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31625
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMSFHIR529HybridHospitalWideReadmission: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMSFHIR529HybridHospitalWideReadmission vs https://madie.cms.gov/Library/CMSFHIR529HybridHospitalWideReadmission"
},
"expression": [
"/scratch/repo/input/resources/library/CMSFHIR529HybridHospitalWideReadmission"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CMSFHIR844HybridHospitalWideMortality",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CMSFHIR844HybridHospitalWideMortality",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CMSFHIR844HybridHospitalWideMortality: Library.extension[3].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CMSFHIR844HybridHospitalWideMortality: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 110
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CMSFHIR844HybridHospitalWideMortality: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 114
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CMSFHIR844HybridHospitalWideMortality: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CMSFHIR844HybridHospitalWideMortality: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 122
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CMSFHIR844HybridHospitalWideMortality: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 126
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CMSFHIR844HybridHospitalWideMortality: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 317
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CMSFHIR844HybridHospitalWideMortality: Library.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27595
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CMSFHIR844HybridHospitalWideMortality: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CMSFHIR844HybridHospitalWideMortality vs https://madie.cms.gov/Library/CMSFHIR844HybridHospitalWideMortality"
},
"expression": [
"/scratch/repo/input/resources/library/CMSFHIR844HybridHospitalWideMortality"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CQMCommon",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CQMCommon",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CQMCommon: Library.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CQMCommon: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CQMCommon: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CQMCommon: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CQMCommon: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 172
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CQMCommon: Library.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 197
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CQMCommon: Library.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 212
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/CQMCommon: Library.dataRequirement[3].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 213
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/CQMCommon: Library.dataRequirement[3].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 227
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CQMCommon: Library.dataRequirement[4].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 240
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CQMCommon: Library.dataRequirement[5].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 247
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/CQMCommon: Library.dataRequirement[5].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 248
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/CQMCommon: Library.dataRequirement[5].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30400
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CQMCommon: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CQMCommon vs https://madie.cms.gov/Library/CQMCommon"
},
"expression": [
"/scratch/repo/input/resources/library/CQMCommon"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CRLReceiptofSpecialistReportFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CRLReceiptofSpecialistReportFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/CRLReceiptofSpecialistReportFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CRLReceiptofSpecialistReportFHIR: Library.extension[6].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CRLReceiptofSpecialistReportFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 130
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CRLReceiptofSpecialistReportFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 134
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CRLReceiptofSpecialistReportFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 138
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CRLReceiptofSpecialistReportFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 142
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CRLReceiptofSpecialistReportFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 350
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CRLReceiptofSpecialistReportFHIR: Library.dataRequirement[10].codeFilter[0].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 363
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CRLReceiptofSpecialistReportFHIR: Library.dataRequirement[11].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 368
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Library/CRLReceiptofSpecialistReportFHIR: Library.dataRequirement[12].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 369
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Library/CRLReceiptofSpecialistReportFHIR: Library.dataRequirement[12].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 386
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CRLReceiptofSpecialistReportFHIR: Library.dataRequirement[12].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 400
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CRLReceiptofSpecialistReportFHIR: Library.dataRequirement[13].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54269
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CRLReceiptofSpecialistReportFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CRLReceiptofSpecialistReportFHIR vs https://madie.cms.gov/Library/CRLReceiptofSpecialistReportFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/CRLReceiptofSpecialistReportFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-Cataracts2040BCVAwithin90DaysFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-Cataracts2040BCVAwithin90DaysFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/Cataracts2040BCVAwithin90DaysFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/Cataracts2040BCVAwithin90DaysFHIR: Library.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/Cataracts2040BCVAwithin90DaysFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 102
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/Cataracts2040BCVAwithin90DaysFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 106
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/Cataracts2040BCVAwithin90DaysFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 110
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/Cataracts2040BCVAwithin90DaysFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 114
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/Cataracts2040BCVAwithin90DaysFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 431
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/Cataracts2040BCVAwithin90DaysFHIR: Library.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 438
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/Cataracts2040BCVAwithin90DaysFHIR: Library.dataRequirement[1].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 439
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/Cataracts2040BCVAwithin90DaysFHIR: Library.dataRequirement[1].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 117740
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/Cataracts2040BCVAwithin90DaysFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/Cataracts2040BCVAwithin90DaysFHIR vs https://madie.cms.gov/Library/Cataracts2040BCVAwithin90DaysFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/Cataracts2040BCVAwithin90DaysFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CervicalCancerScreeningFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CervicalCancerScreeningFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/CervicalCancerScreeningFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CervicalCancerScreeningFHIR: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CervicalCancerScreeningFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 95
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CervicalCancerScreeningFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 99
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CervicalCancerScreeningFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CervicalCancerScreeningFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CervicalCancerScreeningFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/CervicalCancerScreeningFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 115
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/PalliativeCare|1.11.000'"
},
"expression": [
"Library/CervicalCancerScreeningFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/CervicalCancerScreeningFHIR: Library.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52948
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CervicalCancerScreeningFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CervicalCancerScreeningFHIR vs https://madie.cms.gov/Library/CervicalCancerScreeningFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/CervicalCancerScreeningFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CesareanBirthFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CesareanBirthFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1109
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CesareanBirthFHIR: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1517
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/CesareanBirthFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1639
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/CesareanBirthFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1765
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/CesareanBirthFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1896
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/CesareanBirthFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2021
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/PCMaternal|5.19.000'"
},
"expression": [
"Library/CesareanBirthFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2149
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/CesareanBirthFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 7462
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/CesareanBirthFHIR: Library.dataRequirement[6].codeFilter[1].code[0]"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 3
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 80
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Resource_RES_ID_Malformed_Length"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Invalid Resource id: Too long (69 chars)"
},
"expression": [
"Library/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Library.id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'AMB' for http://terminology.hl7.org/CodeSystem/v3-ActCode#AMB. Valid display is 'ambulatory' (en) (for the language(s) 'en')"
},
"expression": [
"Library/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Library.extension[2].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Library.extension[4].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 97
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 116
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 120
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 124
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 128
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 132
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 327
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Library.dataRequirement[9].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38335
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR vs https://madie.cms.gov/Library/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-ChildhoodImmunizationStatusFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-ChildhoodImmunizationStatusFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 64
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '433621000124101' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 71
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428321000124101' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428331000124103' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library.extension[2].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 99
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '471311000124103' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library.extension[5].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 113
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '471361000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library.extension[7].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 120
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '471331000124109' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library.extension[8].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 127
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '471141000124102' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library.extension[9].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 134
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '471321000124106' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library.extension[10].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 141
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '471341000124104' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library.extension[11].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 153
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library.extension[13].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 160
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 179
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 183
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 187
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 191
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 195
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 199
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 879
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '471321000124106' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library.dataRequirement[15].codeFilter[0].code[0].code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 891
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '471331000124109' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library.dataRequirement[16].codeFilter[0].code[0].code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 927
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '433621000124101' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
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],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428321000124101' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
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],
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"code": "code-invalid",
"details": {
"text": "Unknown code '471341000124104' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
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{
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],
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"code": "code-invalid",
"details": {
"text": "Unknown code '471141000124102' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
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{
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],
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"code": "code-invalid",
"details": {
"text": "Unknown code '471311000124103' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
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"details": {
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],
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"details": {
"text": "Unknown code '471361000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
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{
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{
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{
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{
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{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 231005
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/ChildhoodImmunizationStatusFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/ChildhoodImmunizationStatusFHIR vs https://madie.cms.gov/Library/ChildhoodImmunizationStatusFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/ChildhoodImmunizationStatusFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-ChildrenWhoHaveDentalDecayOrCavitiesFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-ChildrenWhoHaveDentalDecayOrCavitiesFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Library"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 64
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Library.extension[0].value.ofType(Coding).code"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 71
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
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{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 97
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Library.extension[5].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 123
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 127
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 131
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 135
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 139
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 143
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27980
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/ChildrenWhoHaveDentalDecayOrCavitiesFHIR vs https://madie.cms.gov/Library/ChildrenWhoHaveDentalDecayOrCavitiesFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/ChildrenWhoHaveDentalDecayOrCavitiesFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-ChlamydiaScreeninginWomenFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-ChlamydiaScreeninginWomenFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/ChlamydiaScreeninginWomenFHIR: Library"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/ChlamydiaScreeninginWomenFHIR: Library.extension[4].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 97
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/ChlamydiaScreeninginWomenFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 116
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/ChlamydiaScreeninginWomenFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 120
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/ChlamydiaScreeninginWomenFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 124
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/ChlamydiaScreeninginWomenFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 128
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/ChlamydiaScreeninginWomenFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 132
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/ChlamydiaScreeninginWomenFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 136
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Library/ChlamydiaScreeninginWomenFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 140
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/ChlamydiaScreeninginWomenFHIR: Library.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78204
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/ChlamydiaScreeninginWomenFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/ChlamydiaScreeninginWomenFHIR vs https://madie.cms.gov/Library/ChlamydiaScreeninginWomenFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/ChlamydiaScreeninginWomenFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-ColonCancerScreeningFHIR",
"resource": {
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"id": "Library-ColonCancerScreeningFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/ColonCancerScreeningFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/ColonCancerScreeningFHIR: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/ColonCancerScreeningFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 95
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/ColonCancerScreeningFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 99
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/ColonCancerScreeningFHIR: Library.relatedArtifact[1].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/ColonCancerScreeningFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/ColonCancerScreeningFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/PalliativeCare|1.11.000'"
},
"expression": [
"Library/ColonCancerScreeningFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 115
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 92
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/AdultOutpatientEncounters|4.11.000'"
},
"expression": [
"Library/ColonCancerScreeningFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 92
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/AdvancedIllnessandFrailty|1.16.000'"
},
"expression": [
"Library/ColonCancerScreeningFHIR: Library.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 123
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/ColonCancerScreeningFHIR: Library.relatedArtifact[7].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 127
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/ColonCancerScreeningFHIR: Library.relatedArtifact[8].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48617
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/ColonCancerScreeningFHIR: Library"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/ColonCancerScreeningFHIR vs https://madie.cms.gov/Library/ColonCancerScreeningFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/ColonCancerScreeningFHIR"
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}
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}
},
{
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"id": "Library-ControllingHighBloodPressureFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
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},
"expression": [
"Library/ControllingHighBloodPressureFHIR: Library"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/ControllingHighBloodPressureFHIR: Library.extension[3].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/ControllingHighBloodPressureFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 109
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/ControllingHighBloodPressureFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 113
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/ControllingHighBloodPressureFHIR: Library.relatedArtifact[1].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 117
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/ControllingHighBloodPressureFHIR: Library.relatedArtifact[2].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 121
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/ControllingHighBloodPressureFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 125
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 129
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 92
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/AdvancedIllnessandFrailty|1.16.000'"
},
"expression": [
"Library/ControllingHighBloodPressureFHIR: Library.relatedArtifact[5].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 133
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 92
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/AdultOutpatientEncounters|4.11.000'"
},
"expression": [
"Library/ControllingHighBloodPressureFHIR: Library.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 137
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/ControllingHighBloodPressureFHIR: Library.relatedArtifact[7].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 141
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/PalliativeCare|1.11.000'"
},
"expression": [
"Library/ControllingHighBloodPressureFHIR: Library.relatedArtifact[8].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 83259
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/ControllingHighBloodPressureFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/ControllingHighBloodPressureFHIR vs https://madie.cms.gov/Library/ControllingHighBloodPressureFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/ControllingHighBloodPressureFHIR"
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}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-CumulativeMedicationDuration",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-CumulativeMedicationDuration",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 162
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'MORN' for http://hl7.org/fhir/event-timing#MORN. Valid display is 'Morning' (for the language(s) 'en')"
},
"expression": [
"Library/CumulativeMedicationDuration: Library.extension[14].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 169
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'MORN.early' for http://hl7.org/fhir/event-timing#MORN.early. Valid display is 'Early Morning' (for the language(s) 'en')"
},
"expression": [
"Library/CumulativeMedicationDuration: Library.extension[15].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 176
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'MORN.late' for http://hl7.org/fhir/event-timing#MORN.late. Valid display is 'Late Morning' (for the language(s) 'en')"
},
"expression": [
"Library/CumulativeMedicationDuration: Library.extension[16].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 190
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'AFT' for http://hl7.org/fhir/event-timing#AFT. Valid display is 'Afternoon' (for the language(s) 'en')"
},
"expression": [
"Library/CumulativeMedicationDuration: Library.extension[18].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 197
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'AFT.early' for http://hl7.org/fhir/event-timing#AFT.early. Valid display is 'Early Afternoon' (for the language(s) 'en')"
},
"expression": [
"Library/CumulativeMedicationDuration: Library.extension[19].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 204
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'AFT.late' for http://hl7.org/fhir/event-timing#AFT.late. Valid display is 'Late Afternoon' (for the language(s) 'en')"
},
"expression": [
"Library/CumulativeMedicationDuration: Library.extension[20].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 211
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'EVE' for http://hl7.org/fhir/event-timing#EVE. Valid display is 'Evening' (for the language(s) 'en')"
},
"expression": [
"Library/CumulativeMedicationDuration: Library.extension[21].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 218
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'EVE.early' for http://hl7.org/fhir/event-timing#EVE.early. Valid display is 'Early Evening' (for the language(s) 'en')"
},
"expression": [
"Library/CumulativeMedicationDuration: Library.extension[22].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 225
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'EVE.late' for http://hl7.org/fhir/event-timing#EVE.late. Valid display is 'Late Evening' (for the language(s) 'en')"
},
"expression": [
"Library/CumulativeMedicationDuration: Library.extension[23].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 239
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'PHS' for http://hl7.org/fhir/event-timing#PHS. Valid display is 'After Sleep' (for the language(s) 'en')"
},
"expression": [
"Library/CumulativeMedicationDuration: Library.extension[25].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 251
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/CumulativeMedicationDuration: Library.extension[27].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 258
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/CumulativeMedicationDuration: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46281
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/CumulativeMedicationDuration: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/CumulativeMedicationDuration vs https://madie.cms.gov/Library/CumulativeMedicationDuration"
},
"expression": [
"/scratch/repo/input/resources/library/CumulativeMedicationDuration"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-DRCommunicationWithPhysicianManagingDiabetesFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-DRCommunicationWithPhysicianManagingDiabetesFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/DRCommunicationWithPhysicianManagingDiabetesFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 106
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'AMB' for http://terminology.hl7.org/CodeSystem/v3-ActCode#AMB. Valid display is 'ambulatory' (en) (for the language(s) 'en')"
},
"expression": [
"Library/DRCommunicationWithPhysicianManagingDiabetesFHIR: Library.extension[6].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/DRCommunicationWithPhysicianManagingDiabetesFHIR: Library.extension[8].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 125
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/DRCommunicationWithPhysicianManagingDiabetesFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 144
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/DRCommunicationWithPhysicianManagingDiabetesFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 148
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/DRCommunicationWithPhysicianManagingDiabetesFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 152
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/DRCommunicationWithPhysicianManagingDiabetesFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 156
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/DRCommunicationWithPhysicianManagingDiabetesFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 403
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/DRCommunicationWithPhysicianManagingDiabetesFHIR: Library.dataRequirement[8].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 428
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/DRCommunicationWithPhysicianManagingDiabetesFHIR: Library.dataRequirement[9].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 453
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/DRCommunicationWithPhysicianManagingDiabetesFHIR: Library.dataRequirement[10].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58017
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/DRCommunicationWithPhysicianManagingDiabetesFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/DRCommunicationWithPhysicianManagingDiabetesFHIR vs https://madie.cms.gov/Library/DRCommunicationWithPhysicianManagingDiabetesFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/DRCommunicationWithPhysicianManagingDiabetesFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-DementiaCognitiveAssessmentFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-DementiaCognitiveAssessmentFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/DementiaCognitiveAssessmentFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/DementiaCognitiveAssessmentFHIR: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/DementiaCognitiveAssessmentFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 95
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/DementiaCognitiveAssessmentFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 99
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/DementiaCognitiveAssessmentFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/DementiaCognitiveAssessmentFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/DementiaCognitiveAssessmentFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54650
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/DementiaCognitiveAssessmentFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/DementiaCognitiveAssessmentFHIR vs https://madie.cms.gov/Library/DementiaCognitiveAssessmentFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/DementiaCognitiveAssessmentFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-DepressionRemissionatTwelveMonthsFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-DepressionRemissionatTwelveMonthsFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/DepressionRemissionatTwelveMonthsFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 64
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/DepressionRemissionatTwelveMonthsFHIR: Library.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 71
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/DepressionRemissionatTwelveMonthsFHIR: Library.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/DepressionRemissionatTwelveMonthsFHIR: Library.extension[6].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/DepressionRemissionatTwelveMonthsFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 130
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/DepressionRemissionatTwelveMonthsFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 134
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/DepressionRemissionatTwelveMonthsFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 138
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/DepressionRemissionatTwelveMonthsFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 142
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/DepressionRemissionatTwelveMonthsFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 451
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/DepressionRemissionatTwelveMonthsFHIR: Library.dataRequirement[12].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 458
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/DepressionRemissionatTwelveMonthsFHIR: Library.dataRequirement[12].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 459
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/DepressionRemissionatTwelveMonthsFHIR: Library.dataRequirement[12].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 473
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/DepressionRemissionatTwelveMonthsFHIR: Library.dataRequirement[13].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 494
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/DepressionRemissionatTwelveMonthsFHIR: Library.dataRequirement[15].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 85070
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/DepressionRemissionatTwelveMonthsFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/DepressionRemissionatTwelveMonthsFHIR vs https://madie.cms.gov/Library/DepressionRemissionatTwelveMonthsFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/DepressionRemissionatTwelveMonthsFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-DiabetesEyeExamFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-DiabetesEyeExamFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/DiabetesEyeExamFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/DiabetesEyeExamFHIR: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/DiabetesEyeExamFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 95
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/DiabetesEyeExamFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 99
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{
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{
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},
{
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"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
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},
{
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{
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{
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{
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{
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"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
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},
{
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{
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{
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{
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{
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"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
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{
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{
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{
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{
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{
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"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
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{
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{
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{
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{
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"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
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{
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"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/PalliativeCare|1.11.000'"
},
"expression": [
"Library/DiabetesEyeExamFHIR: Library.relatedArtifact[6].resource"
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},
{
"extension": [
{
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{
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{
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{
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}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/AdvancedIllnessandFrailty|1.16.000'"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/DiabetesEyeExamFHIR: Library"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/DiabetesEyeExamFHIR vs https://madie.cms.gov/Library/DiabetesEyeExamFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/DiabetesEyeExamFHIR"
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}
]
}
},
{
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{
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{
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{
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{
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{
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],
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"code": "structure",
"details": {
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},
"expression": [
"Library/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Library"
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{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
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],
"severity": "error",
"code": "structure",
"details": {
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},
"expression": [
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},
{
"extension": [
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"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
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},
"expression": [
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]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 102
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Library.relatedArtifact[0].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 106
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Library.relatedArtifact[1].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 110
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 114
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Library.relatedArtifact[3].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Library.relatedArtifact[4].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 122
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Library/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 126
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 92
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/AdultOutpatientEncounters|4.11.000'"
},
"expression": [
"Library/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Library.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 130
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 92
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/AdvancedIllnessandFrailty|1.16.000'"
},
"expression": [
"Library/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Library.relatedArtifact[7].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 134
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Library.relatedArtifact[8].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 138
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/PalliativeCare|1.11.000'"
},
"expression": [
"Library/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Library.relatedArtifact[9].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64016
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Library"
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},
{
"extension": [
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"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR vs https://madie.cms.gov/Library/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR"
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"expression": [
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}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-DocumentationofCurrentMedicationsFHIR",
"resource": {
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"id": "Library-DocumentationofCurrentMedicationsFHIR",
"issue": [
{
"extension": [
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"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
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},
{
"extension": [
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"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 64
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428191000124101' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/DocumentationofCurrentMedicationsFHIR: Library.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/DocumentationofCurrentMedicationsFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 102
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/DocumentationofCurrentMedicationsFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 106
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/DocumentationofCurrentMedicationsFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 110
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/DocumentationofCurrentMedicationsFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 114
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/DocumentationofCurrentMedicationsFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 208
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/DocumentationofCurrentMedicationsFHIR: Library.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 221
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/DocumentationofCurrentMedicationsFHIR: Library.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 231
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428191000124101' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/DocumentationofCurrentMedicationsFHIR: Library.dataRequirement[3].codeFilter[0].code[0].code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 238
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/DocumentationofCurrentMedicationsFHIR: Library.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 248
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428191000124101' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/DocumentationofCurrentMedicationsFHIR: Library.dataRequirement[4].codeFilter[0].code[0].code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 255
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/DocumentationofCurrentMedicationsFHIR: Library.dataRequirement[4].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22919
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/DocumentationofCurrentMedicationsFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/DocumentationofCurrentMedicationsFHIR vs https://madie.cms.gov/Library/DocumentationofCurrentMedicationsFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/DocumentationofCurrentMedicationsFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-FHIRHelpers",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-FHIRHelpers",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/FHIRHelpers: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/FHIRHelpers: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44261
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/FHIRHelpers: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers vs https://madie.cms.gov/Library/FHIRHelpers"
},
"expression": [
"/scratch/repo/input/resources/library/FHIRHelpers"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-FallsScreeningForFutureFallRiskFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-FallsScreeningForFutureFallRiskFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/FallsScreeningForFutureFallRiskFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/FallsScreeningForFutureFallRiskFHIR: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/FallsScreeningForFutureFallRiskFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 95
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/FallsScreeningForFutureFallRiskFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 99
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/FallsScreeningForFutureFallRiskFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/FallsScreeningForFutureFallRiskFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/FallsScreeningForFutureFallRiskFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/FallsScreeningForFutureFallRiskFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 115
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/FallsScreeningForFutureFallRiskFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57989
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/FallsScreeningForFutureFallRiskFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/FallsScreeningForFutureFallRiskFHIR vs https://madie.cms.gov/Library/FallsScreeningForFutureFallRiskFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/FallsScreeningForFutureFallRiskFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-FallsWithInjuryFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-FallsWithInjuryFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 202
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/FallsWithInjuryFHIR: Library.extension[0].value.ofType(Reference)"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Library.extension[3].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 109
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 113
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 117
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 121
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 125
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 129
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 133
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Library/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Library.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 137
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Library.relatedArtifact[7].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 811
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Library.dataRequirement[47].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 812
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Library.dataRequirement[47].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 102391
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR vs https://madie.cms.gov/Library/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-FunctionalStatusAssessmentforTotalHipReplacementFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-FunctionalStatusAssessmentforTotalHipReplacementFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Library.extension[2].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 85
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Library.extension[3].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 202
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Library.extension[20].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 209
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 228
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 232
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 236
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 240
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 244
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 248
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 567
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
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},
{
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{
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{
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{
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"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
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},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
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"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Library.dataRequirement[9].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Library.dataRequirement[9].dateFilter[0].value.ofType(Period).extension[0].url"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 602
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Library.dataRequirement[10].dateFilter[0].value.ofType(Period).extension[0]"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Library.dataRequirement[10].dateFilter[0].value.ofType(Period).extension[0].url"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 106584
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/FunctionalStatusAssessmentforTotalHipReplacementFHIR vs https://madie.cms.gov/Library/FunctionalStatusAssessmentforTotalHipReplacementFHIR"
},
"expression": [
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]
}
]
}
},
{
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"resource": {
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"id": "Library-FunctionalStatusAssessmentsforHeartFailureFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/FunctionalStatusAssessmentsforHeartFailureFHIR: Library"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
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{
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"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/FunctionalStatusAssessmentsforHeartFailureFHIR: Library.extension[31].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 286
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/FunctionalStatusAssessmentsforHeartFailureFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 305
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/FunctionalStatusAssessmentsforHeartFailureFHIR: Library.relatedArtifact[0].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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{
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"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/FunctionalStatusAssessmentsforHeartFailureFHIR: Library.relatedArtifact[1].resource"
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},
{
"extension": [
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
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},
{
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"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/FunctionalStatusAssessmentsforHeartFailureFHIR: Library.relatedArtifact[2].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 317
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/FunctionalStatusAssessmentsforHeartFailureFHIR: Library.relatedArtifact[3].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
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{
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"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/FunctionalStatusAssessmentsforHeartFailureFHIR: Library.relatedArtifact[4].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
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"valueString": "InstanceValidator"
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{
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"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
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},
{
"extension": [
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"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 123649
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
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},
"expression": [
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},
{
"extension": [
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"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/FunctionalStatusAssessmentsforHeartFailureFHIR vs https://madie.cms.gov/Library/FunctionalStatusAssessmentsforHeartFailureFHIR"
},
"expression": [
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}
]
}
},
{
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{
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"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
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{
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"valueCode": "Reference_REF_CantResolve"
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],
"severity": "error",
"code": "structure",
"details": {
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},
"expression": [
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},
{
"extension": [
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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],
"severity": "error",
"code": "invalid",
"details": {
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},
"expression": [
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]
},
{
"extension": [
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"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1685
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
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},
{
"extension": [
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
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"valueString": "InstanceValidator"
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1944
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/GlobalMalnutritionCompositeFHIR: Library.relatedArtifact[3].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2066
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2182
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 7573
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
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},
"expression": [
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}
]
}
},
{
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"resource": {
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"id": "Library-HFACEIorARBorARNIforLVSDFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
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]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 97
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/HFACEIorARBorARNIforLVSDFHIR: Library.extension[5].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/HFACEIorARBorARNIforLVSDFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 123
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/HFACEIorARBorARNIforLVSDFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 127
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/HFACEIorARBorARNIforLVSDFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 131
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/HFACEIorARBorARNIforLVSDFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 135
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/HFACEIorARBorARNIforLVSDFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 139
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/AHAOverall|2.8.000'"
},
"expression": [
"Library/HFACEIorARBorARNIforLVSDFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63224
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/HFACEIorARBorARNIforLVSDFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/HFACEIorARBorARNIforLVSDFHIR vs https://madie.cms.gov/Library/HFACEIorARBorARNIforLVSDFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/HFACEIorARBorARNIforLVSDFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-HFBetaBlockerTherapyforLVSDFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-HFBetaBlockerTherapyforLVSDFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/HFBetaBlockerTherapyforLVSDFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/HFBetaBlockerTherapyforLVSDFHIR: Library.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/HFBetaBlockerTherapyforLVSDFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 102
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/HFBetaBlockerTherapyforLVSDFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 106
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/HFBetaBlockerTherapyforLVSDFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 110
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/HFBetaBlockerTherapyforLVSDFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 114
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/HFBetaBlockerTherapyforLVSDFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/AHAOverall|2.8.000'"
},
"expression": [
"Library/HFBetaBlockerTherapyforLVSDFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 455
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/HFBetaBlockerTherapyforLVSDFHIR: Library.dataRequirement[16].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73611
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/HFBetaBlockerTherapyforLVSDFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/HFBetaBlockerTherapyforLVSDFHIR vs https://madie.cms.gov/Library/HFBetaBlockerTherapyforLVSDFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/HFBetaBlockerTherapyforLVSDFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-HIVRetentionFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-HIVRetentionFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/HIVRetentionFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/HIVRetentionFHIR: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/HIVRetentionFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 95
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/HIVRetentionFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 99
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/HIVRetentionFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/HIVRetentionFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/HIVRetentionFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/HIVRetentionFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 115
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Library/HIVRetentionFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52273
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/HIVRetentionFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/HIVRetentionFHIR vs https://madie.cms.gov/Library/HIVRetentionFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/HIVRetentionFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-HIVSTITestingFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-HIVSTITestingFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/HIVSTITestingFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/HIVSTITestingFHIR: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/HIVSTITestingFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 95
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/HIVSTITestingFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 99
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/HIVSTITestingFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/HIVSTITestingFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/HIVSTITestingFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/HIVSTITestingFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47746
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/HIVSTITestingFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/HIVSTITestingFHIR vs https://madie.cms.gov/Library/HIVSTITestingFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/HIVSTITestingFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-HIVScreeningFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-HIVScreeningFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/HIVScreeningFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'AMB' for http://terminology.hl7.org/CodeSystem/v3-ActCode#AMB. Valid display is 'ambulatory' (en) (for the language(s) 'en')"
},
"expression": [
"Library/HIVScreeningFHIR: Library.extension[2].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/HIVScreeningFHIR: Library.extension[7].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/HIVScreeningFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 137
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/HIVScreeningFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 141
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/HIVScreeningFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 145
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/HIVScreeningFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 149
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/HIVScreeningFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 153
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/HIVScreeningFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32714
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/HIVScreeningFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/HIVScreeningFHIR vs https://madie.cms.gov/Library/HIVScreeningFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/HIVScreeningFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-HIVViralSuppressionFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-HIVViralSuppressionFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/HIVViralSuppressionFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/HIVViralSuppressionFHIR: Library.extension[3].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/HIVViralSuppressionFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 109
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/HIVViralSuppressionFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 113
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/HIVViralSuppressionFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 117
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/HIVViralSuppressionFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 121
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/HIVViralSuppressionFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 125
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/HIVViralSuppressionFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39998
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/HIVViralSuppressionFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/HIVViralSuppressionFHIR vs https://madie.cms.gov/Library/HIVViralSuppressionFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/HIVViralSuppressionFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-Hospice",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-Hospice",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 64
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/Hospice: Library.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 71
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/Hospice: Library.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 97
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/Hospice: Library.extension[5].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/Hospice: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 124
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/Hospice: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 128
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/Hospice: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 132
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/Hospice: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 136
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/Hospice: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 14238
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/Hospice: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/Hospice vs https://madie.cms.gov/Library/Hospice"
},
"expression": [
"/scratch/repo/input/resources/library/Hospice"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-HospitalHarm",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-HospitalHarm",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/HospitalHarm: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/HospitalHarm: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 96
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/HospitalHarm: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 100
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/HospitalHarm: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/HospitalHarm: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 108
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/HospitalHarm: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 7972
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/HospitalHarm: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/HospitalHarm vs https://madie.cms.gov/Library/HospitalHarm"
},
"expression": [
"/scratch/repo/input/resources/library/HospitalHarm"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-HospitalHarmAcuteKidneyInjuryFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-HospitalHarmAcuteKidneyInjuryFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1125
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/HospitalHarmAcuteKidneyInjuryFHIR: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1565
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/HospitalHarmAcuteKidneyInjuryFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1691
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/HospitalHarmAcuteKidneyInjuryFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1822
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/HospitalHarmAcuteKidneyInjuryFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1944
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/HospitalHarmAcuteKidneyInjuryFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
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]
},
{
"extension": [
{
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"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HospitalHarmAcuteKidneyInjuryFHIR: Library.dataRequirement[11].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 11317
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HospitalHarmAcuteKidneyInjuryFHIR: Library.dataRequirement[11].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 11889
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HospitalHarmAcuteKidneyInjuryFHIR: Library.dataRequirement[12].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HospitalHarmAcuteKidneyInjuryFHIR: Library.dataRequirement[12].dateFilter[0].value.ofType(Period).extension[0].url"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-HospitalHarmHyperglycemiainHospitalizedPatientsFHIR",
"resource": {
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"id": "Library-HospitalHarmHyperglycemiainHospitalizedPatientsFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1143
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/HospitalHarmHyperglycemiainHospitalizedPatientsFHIR: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1619
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
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]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1750
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/HospitalHarmHyperglycemiainHospitalizedPatientsFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/HospitalHarmHyperglycemiainHospitalizedPatientsFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2000
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/HospitalHarmHyperglycemiainHospitalizedPatientsFHIR: Library.relatedArtifact[3].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2126
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/HospitalHarmHyperglycemiainHospitalizedPatientsFHIR: Library.relatedArtifact[4].resource"
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},
{
"extension": [
{
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
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"code": "code-invalid",
"details": {
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},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Library/HospitalHarmHyperglycemiainHospitalizedPatientsFHIR: Library.dataRequirement[3].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6405
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Library/HospitalHarmHyperglycemiainHospitalizedPatientsFHIR: Library.dataRequirement[3].extension[0].url"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 7545
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
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],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
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}
]
}
},
{
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{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
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],
"severity": "error",
"code": "structure",
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},
"expression": [
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]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1592
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/HospitalHarmOpioidRelatedAdverseEventsFHIR: Library.relatedArtifact[0].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
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{
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://cts.nlm.nih.gov/fhir/cs/hsloc'"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
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}
]
}
},
{
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{
"extension": [
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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],
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"code": "structure",
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"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1556
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/HospitalHarmPressureInjuryFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1935
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/HospitalHarmPressureInjuryFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2063
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/HospitalHarmPressureInjuryFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6745
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/HospitalHarmPressureInjuryFHIR: Library.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 7411
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/HospitalHarmPressureInjuryFHIR: Library.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
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]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HospitalHarmPressureInjuryFHIR: Library.dataRequirement[4].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8786
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HospitalHarmPressureInjuryFHIR: Library.dataRequirement[4].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HospitalHarmPressureInjuryFHIR: Library.dataRequirement[5].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HospitalHarmPressureInjuryFHIR: Library.dataRequirement[5].dateFilter[0].value.ofType(Period).extension[0].url"
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}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-HospitalHarmSevereHypoglycemiaFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-HospitalHarmSevereHypoglycemiaFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1126
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/HospitalHarmSevereHypoglycemiaFHIR: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1568
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/HospitalHarmSevereHypoglycemiaFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1699
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/HospitalHarmSevereHypoglycemiaFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/HospitalHarmSevereHypoglycemiaFHIR: Library.relatedArtifact[2].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1949
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/HospitalHarmSevereHypoglycemiaFHIR: Library.relatedArtifact[3].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Library/HospitalHarmSevereHypoglycemiaFHIR: Library.dataRequirement[2].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 5206
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
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]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-HybridHospitalWideMortalityFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-HybridHospitalWideMortalityFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1123
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
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]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1681
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
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},
{
"extension": [
{
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/HybridHospitalWideMortalityFHIR: Library.relatedArtifact[3].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6993
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideMortalityFHIR: Library.dataRequirement[4].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideMortalityFHIR: Library.dataRequirement[4].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 7363
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideMortalityFHIR: Library.dataRequirement[5].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
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},
{
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"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideMortalityFHIR: Library.dataRequirement[5].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideMortalityFHIR: Library.dataRequirement[7].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideMortalityFHIR: Library.dataRequirement[7].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideMortalityFHIR: Library.dataRequirement[8].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideMortalityFHIR: Library.dataRequirement[8].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideMortalityFHIR: Library.dataRequirement[9].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideMortalityFHIR: Library.dataRequirement[9].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 9752
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideMortalityFHIR: Library.dataRequirement[10].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 9650
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideMortalityFHIR: Library.dataRequirement[10].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10278
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideMortalityFHIR: Library.dataRequirement[11].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10176
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideMortalityFHIR: Library.dataRequirement[11].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10804
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideMortalityFHIR: Library.dataRequirement[12].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10702
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideMortalityFHIR: Library.dataRequirement[12].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 11724
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideMortalityFHIR: Library.dataRequirement[14].dateFilter[1].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 11622
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideMortalityFHIR: Library.dataRequirement[14].dateFilter[1].value.ofType(Period).extension[0].url"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-HybridHospitalWideReadmissionFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-HybridHospitalWideReadmissionFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1125
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1565
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1687
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1813
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1944
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2072
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6882
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 7465
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[4].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 7363
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[4].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 7835
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[5].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 7733
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[5].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8489
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[7].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8387
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[7].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8976
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[9].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8874
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[9].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 9502
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[10].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 9400
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[10].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10028
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[11].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 9926
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[11].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10554
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[12].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10452
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[12].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 11080
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[13].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10978
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[13].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 11606
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[14].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 11504
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[14].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 12132
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[15].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 12030
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[15].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 12658
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[16].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 12556
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/HybridHospitalWideReadmissionFHIR: Library.dataRequirement[16].dateFilter[0].value.ofType(Period).extension[0].url"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 95
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 99
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 115
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Library.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 442
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Library.dataRequirement[14].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 443
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Library.dataRequirement[14].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 80367
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR vs https://madie.cms.gov/Library/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 92
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "INACTIVE_CONCEPT_FOUND"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "The concept '169331000' has a status of inactive and its use should be reviewed"
},
"expression": [
"Library/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Library.extension[4].value.ofType(Coding)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Library.extension[8].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 125
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 144
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 148
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 152
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 156
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 421
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Library.dataRequirement[6].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 434
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Library.dataRequirement[7].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 444
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "INACTIVE_CONCEPT_FOUND"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "The concept '169331000' has a status of inactive and its use should be reviewed"
},
"expression": [
"Library/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Library.dataRequirement[8].codeFilter[0].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 451
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Library.dataRequirement[8].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 470
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Library.dataRequirement[10].codeFilter[2].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 491
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Library/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Library.dataRequirement[13].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 492
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Library/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Library.dataRequirement[13].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72453
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR vs https://madie.cms.gov/Library/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-KidneyHealthEvaluationFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-KidneyHealthEvaluationFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/KidneyHealthEvaluationFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 64
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/KidneyHealthEvaluationFHIR: Library.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 71
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/KidneyHealthEvaluationFHIR: Library.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'AMB' for http://terminology.hl7.org/CodeSystem/v3-ActCode#AMB. Valid display is 'ambulatory' (en) (for the language(s) 'en')"
},
"expression": [
"Library/KidneyHealthEvaluationFHIR: Library.extension[2].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 97
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/KidneyHealthEvaluationFHIR: Library.extension[5].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/KidneyHealthEvaluationFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 123
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/KidneyHealthEvaluationFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 127
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/KidneyHealthEvaluationFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 131
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/KidneyHealthEvaluationFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 135
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/KidneyHealthEvaluationFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 139
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/KidneyHealthEvaluationFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 143
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/PalliativeCare|1.11.000'"
},
"expression": [
"Library/KidneyHealthEvaluationFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 147
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/KidneyHealthEvaluationFHIR: Library.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66343
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/KidneyHealthEvaluationFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/KidneyHealthEvaluationFHIR vs https://madie.cms.gov/Library/KidneyHealthEvaluationFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/KidneyHealthEvaluationFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-OncologyPainIntensityQuantifiedFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-OncologyPainIntensityQuantifiedFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/OncologyPainIntensityQuantifiedFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/OncologyPainIntensityQuantifiedFHIR: Library.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/OncologyPainIntensityQuantifiedFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 102
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/OncologyPainIntensityQuantifiedFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 106
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/OncologyPainIntensityQuantifiedFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 110
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/OncologyPainIntensityQuantifiedFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 114
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/OncologyPainIntensityQuantifiedFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/OncologyPainIntensityQuantifiedFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 253
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/OncologyPainIntensityQuantifiedFHIR: Library.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 267
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/OncologyPainIntensityQuantifiedFHIR: Library.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 280
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/OncologyPainIntensityQuantifiedFHIR: Library.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 293
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/OncologyPainIntensityQuantifiedFHIR: Library.dataRequirement[4].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 306
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/OncologyPainIntensityQuantifiedFHIR: Library.dataRequirement[5].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 327
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/OncologyPainIntensityQuantifiedFHIR: Library.dataRequirement[7].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28679
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/OncologyPainIntensityQuantifiedFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/OncologyPainIntensityQuantifiedFHIR vs https://madie.cms.gov/Library/OncologyPainIntensityQuantifiedFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/OncologyPainIntensityQuantifiedFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-PCMaternal",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-PCMaternal",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/PCMaternal: Library.extension[3].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/PCMaternal: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 110
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/PCMaternal: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 114
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/PCMaternal: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/PCMaternal: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 122
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/PCMaternal: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 191
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/PCMaternal: Library.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 204
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/PCMaternal: Library.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 211
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Library/PCMaternal: Library.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 212
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Library/PCMaternal: Library.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 226
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/PCMaternal: Library.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19469
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/PCMaternal: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/PCMaternal vs https://madie.cms.gov/Library/PCMaternal"
},
"expression": [
"/scratch/repo/input/resources/library/PCMaternal"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-PCSBMIScreenAndFollowUpFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-PCSBMIScreenAndFollowUpFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/PCSBMIScreenAndFollowUpFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 97
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/PCSBMIScreenAndFollowUpFHIR: Library.extension[5].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/PCSBMIScreenAndFollowUpFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 123
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/PCSBMIScreenAndFollowUpFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 127
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/PCSBMIScreenAndFollowUpFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 131
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/PCSBMIScreenAndFollowUpFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 135
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/PalliativeCare|1.11.000'"
},
"expression": [
"Library/PCSBMIScreenAndFollowUpFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 139
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/PCSBMIScreenAndFollowUpFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 143
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/PCSBMIScreenAndFollowUpFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 370
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/PCSBMIScreenAndFollowUpFHIR: Library.dataRequirement[1].codeFilter[2].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 375
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Library/PCSBMIScreenAndFollowUpFHIR: Library.dataRequirement[2].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 376
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Library/PCSBMIScreenAndFollowUpFHIR: Library.dataRequirement[2].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 395
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/PCSBMIScreenAndFollowUpFHIR: Library.dataRequirement[2].codeFilter[2].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 100611
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/PCSBMIScreenAndFollowUpFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/PCSBMIScreenAndFollowUpFHIR vs https://madie.cms.gov/Library/PCSBMIScreenAndFollowUpFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/PCSBMIScreenAndFollowUpFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-PCSBPScreeningFollowUpFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-PCSBPScreeningFollowUpFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/PCSBPScreeningFollowUpFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/PCSBPScreeningFollowUpFHIR: Library.extension[6].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/PCSBPScreeningFollowUpFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 130
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/PCSBPScreeningFollowUpFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 134
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/PCSBPScreeningFollowUpFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 138
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/PCSBPScreeningFollowUpFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 142
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/PCSBPScreeningFollowUpFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 146
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/PCSBPScreeningFollowUpFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 443
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/PCSBPScreeningFollowUpFHIR: Library.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 510
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/PCSBPScreeningFollowUpFHIR: Library.dataRequirement[9].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 520
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'EKG 12 channel panel' for http://loinc.org#34534-8. Valid display is one of 3 choices: '12 lead EKG panel' (en-US), '12 lead EKG panel' (en-US) or '12 lead EKG Pnl' (en-US) (for the language(s) 'en')"
},
"expression": [
"Library/PCSBPScreeningFollowUpFHIR: Library.dataRequirement[10].codeFilter[0].code[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 555
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/PCSBPScreeningFollowUpFHIR: Library.dataRequirement[13].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 580
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/PCSBPScreeningFollowUpFHIR: Library.dataRequirement[14].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 605
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/PCSBPScreeningFollowUpFHIR: Library.dataRequirement[15].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 610
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Library/PCSBPScreeningFollowUpFHIR: Library.dataRequirement[16].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 611
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Library/PCSBPScreeningFollowUpFHIR: Library.dataRequirement[16].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 750
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'EKG 12 channel panel' for http://loinc.org#34534-8. Valid display is one of 3 choices: '12 lead EKG panel' (en-US), '12 lead EKG panel' (en-US) or '12 lead EKG Pnl' (en-US) (for the language(s) 'en')"
},
"expression": [
"Library/PCSBPScreeningFollowUpFHIR: Library.dataRequirement[31].codeFilter[0].code[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 163364
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/PCSBPScreeningFollowUpFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/PCSBPScreeningFollowUpFHIR vs https://madie.cms.gov/Library/PCSBPScreeningFollowUpFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/PCSBPScreeningFollowUpFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-PCSDepressionScreenAndFollowUpFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-PCSDepressionScreenAndFollowUpFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/PCSDepressionScreenAndFollowUpFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 85
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428171000124102' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/PCSDepressionScreenAndFollowUpFHIR: Library.extension[3].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 92
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428181000124104' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Library/PCSDepressionScreenAndFollowUpFHIR: Library.extension[4].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/PCSDepressionScreenAndFollowUpFHIR: Library.extension[6].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/PCSDepressionScreenAndFollowUpFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 130
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/PCSDepressionScreenAndFollowUpFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 134
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/PCSDepressionScreenAndFollowUpFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 138
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/PCSDepressionScreenAndFollowUpFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 142
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/PCSDepressionScreenAndFollowUpFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 419
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/PCSDepressionScreenAndFollowUpFHIR: Library.dataRequirement[5].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 436
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/PCSDepressionScreenAndFollowUpFHIR: Library.dataRequirement[6].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 501
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/PCSDepressionScreenAndFollowUpFHIR: Library.dataRequirement[14].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 514
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/PCSDepressionScreenAndFollowUpFHIR: Library.dataRequirement[15].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70428
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/PCSDepressionScreenAndFollowUpFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/PCSDepressionScreenAndFollowUpFHIR vs https://madie.cms.gov/Library/PCSDepressionScreenAndFollowUpFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/PCSDepressionScreenAndFollowUpFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-POAGOpticNerveEvaluationFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-POAGOpticNerveEvaluationFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/POAGOpticNerveEvaluationFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 71
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'AMB' for http://terminology.hl7.org/CodeSystem/v3-ActCode#AMB. Valid display is 'ambulatory' (en) (for the language(s) 'en')"
},
"expression": [
"Library/POAGOpticNerveEvaluationFHIR: Library.extension[1].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/POAGOpticNerveEvaluationFHIR: Library.extension[3].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/POAGOpticNerveEvaluationFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 109
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/POAGOpticNerveEvaluationFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 113
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/POAGOpticNerveEvaluationFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 117
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/POAGOpticNerveEvaluationFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 121
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/POAGOpticNerveEvaluationFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38905
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/POAGOpticNerveEvaluationFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/POAGOpticNerveEvaluationFHIR vs https://madie.cms.gov/Library/POAGOpticNerveEvaluationFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/POAGOpticNerveEvaluationFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-PalliativeCare",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-PalliativeCare",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/PalliativeCare: Library.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/PalliativeCare: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/PalliativeCare: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/PalliativeCare: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/PalliativeCare: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 115
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/PalliativeCare: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17476
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/PalliativeCare: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/PalliativeCare vs https://madie.cms.gov/Library/PalliativeCare"
},
"expression": [
"/scratch/repo/input/resources/library/PalliativeCare"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Library.extension[6].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 130
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 134
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 138
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Library.relatedArtifact[2].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 142
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Library.relatedArtifact[3].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 146
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Library.relatedArtifact[4].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 150
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Library.relatedArtifact[5].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 154
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Library/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Library.relatedArtifact[6].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 102857
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR vs https://madie.cms.gov/Library/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR"
},
"expression": [
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}
]
}
},
{
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"resource": {
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"id": "Library-PrimaryCariesPreventionasOfferedbyDentistsFHIR",
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{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
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},
"expression": [
"Library/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Library"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
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{
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"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 95
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 99
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Library.relatedArtifact[1].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 115
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27459
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/PrimaryCariesPreventionasOfferedbyDentistsFHIR vs https://madie.cms.gov/Library/PrimaryCariesPreventionasOfferedbyDentistsFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/PrimaryCariesPreventionasOfferedbyDentistsFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-ProstateCaAvoidanceBoneScanOveruseFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-ProstateCaAvoidanceBoneScanOveruseFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/ProstateCaAvoidanceBoneScanOveruseFHIR: Library"
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},
{
"extension": [
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"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 71
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
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"valueString": "TerminologyEngine"
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '433351000124101' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '433361000124104' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
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{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 85
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '433611000124109' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 92
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "INACTIVE_CONCEPT_FOUND"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "The concept '369833007' has a status of inactive and its use should be reviewed"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 99
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "INACTIVE_CONCEPT_FOUND"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "The concept '369834001' has a status of inactive and its use should be reviewed"
},
"expression": [
"Library/ProstateCaAvoidanceBoneScanOveruseFHIR: Library.extension[5].value.ofType(Coding)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/ProstateCaAvoidanceBoneScanOveruseFHIR: Library.extension[8].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 125
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/ProstateCaAvoidanceBoneScanOveruseFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 144
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/ProstateCaAvoidanceBoneScanOveruseFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 148
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/ProstateCaAvoidanceBoneScanOveruseFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 152
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/ProstateCaAvoidanceBoneScanOveruseFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 156
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/ProstateCaAvoidanceBoneScanOveruseFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 337
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/ProstateCaAvoidanceBoneScanOveruseFHIR: Library.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 354
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Library/ProstateCaAvoidanceBoneScanOveruseFHIR: Library.dataRequirement[4].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 355
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Library/ProstateCaAvoidanceBoneScanOveruseFHIR: Library.dataRequirement[4].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 372
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/ProstateCaAvoidanceBoneScanOveruseFHIR: Library.dataRequirement[4].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 389
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Library/ProstateCaAvoidanceBoneScanOveruseFHIR: Library.dataRequirement[5].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 390
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Library/ProstateCaAvoidanceBoneScanOveruseFHIR: Library.dataRequirement[5].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 407
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/ProstateCaAvoidanceBoneScanOveruseFHIR: Library.dataRequirement[5].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 432
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/ProstateCaAvoidanceBoneScanOveruseFHIR: Library.dataRequirement[6].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51592
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/ProstateCaAvoidanceBoneScanOveruseFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/ProstateCaAvoidanceBoneScanOveruseFHIR vs https://madie.cms.gov/Library/ProstateCaAvoidanceBoneScanOveruseFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/ProstateCaAvoidanceBoneScanOveruseFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-QICoreCommon",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-QICoreCommon",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 64
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'Birthdate' for http://loinc.org#21112-8. Valid display is one of 3 choices: 'Birth date' (en-US), 'Birth date' (en-US) or 'Birth date' (en-US) (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[0].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'ER' for http://terminology.hl7.org/CodeSystem/v3-RoleCode#ER. Valid display is 'Emergency room' (en) (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[2].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 85
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'ICU' for http://terminology.hl7.org/CodeSystem/v3-RoleCode#ICU. Valid display is 'Intensive care unit' (en) (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[3].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 176
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'problem-list-item' for http://terminology.hl7.org/CodeSystem/condition-category#problem-list-item. Valid display is 'Problem List Item' (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[16].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 183
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'encounter-diagnosis' for http://terminology.hl7.org/CodeSystem/condition-category#encounter-diagnosis. Valid display is 'Encounter Diagnosis' (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[17].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 190
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'health-concern' for http://hl7.org/fhir/us/core/CodeSystem/condition-category#health-concern. Valid display is 'Health Concern' (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[18].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 274
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'entered-in-error' for http://terminology.hl7.org/CodeSystem/condition-ver-status#entered-in-error. Valid display is 'Entered in Error' (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[30].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 281
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'allergy-active' for http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical#active. Valid display is 'Active' (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[31].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 288
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'allergy-inactive' for http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical#inactive. Valid display is 'Inactive' (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[32].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 295
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'allergy-resolved' for http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical#resolved. Valid display is 'Resolved' (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[33].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 302
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'allergy-unconfirmed' for http://terminology.hl7.org/CodeSystem/allergyintolerance-verification#unconfirmed. Valid display is 'Unconfirmed' (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[34].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 309
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'allergy-confirmed' for http://terminology.hl7.org/CodeSystem/allergyintolerance-verification#confirmed. Valid display is 'Confirmed' (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[35].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 316
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'allergy-refuted' for http://terminology.hl7.org/CodeSystem/allergyintolerance-verification#refuted. Valid display is 'Refuted' (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[36].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 351
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'AD' for http://terminology.hl7.org/CodeSystem/diagnosis-role#AD. Valid display is 'Admission diagnosis' (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[41].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 358
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'DD' for http://terminology.hl7.org/CodeSystem/diagnosis-role#DD. Valid display is 'Discharge diagnosis' (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[42].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 365
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'CC' for http://terminology.hl7.org/CodeSystem/diagnosis-role#CC. Valid display is 'Chief complaint' (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[43].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 372
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'CM' for http://terminology.hl7.org/CodeSystem/diagnosis-role#CM. Valid display is 'Comorbidity diagnosis' (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[44].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 379
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'pre-op' for http://terminology.hl7.org/CodeSystem/diagnosis-role#pre-op. Valid display is 'pre-op diagnosis' (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[45].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 386
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'post-op' for http://terminology.hl7.org/CodeSystem/diagnosis-role#post-op. Valid display is 'post-op diagnosis' (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[46].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 400
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'social-history' for http://terminology.hl7.org/CodeSystem/observation-category#social-history. Valid display is 'Social History' (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[48].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 407
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'vital-signs' for http://terminology.hl7.org/CodeSystem/observation-category#vital-signs. Valid display is 'Vital Signs' (for the language(s) 'en')"
},
"expression": [
"Library/QICoreCommon: Library.extension[49].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 468
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/QICoreCommon: Library.extension[58].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 475
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/QICoreCommon: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 495
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/QICoreCommon: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 499
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/QICoreCommon: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 551
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 86
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/us/core/CodeSystem/us-core-observation-category'"
},
"expression": [
"Library/QICoreCommon: Library.relatedArtifact[14].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36327
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/QICoreCommon: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/QICoreCommon vs https://madie.cms.gov/Library/QICoreCommon"
},
"expression": [
"/scratch/repo/input/resources/library/QICoreCommon"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 3
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 79
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Resource_RES_ID_Malformed_Length"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Invalid Resource id: Too long (68 chars)"
},
"expression": [
"Library/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Library.id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Library.extension[4].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 97
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 116
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 120
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 124
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 128
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/PalliativeCare|1.11.000'"
},
"expression": [
"Library/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 132
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 136
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 156
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'https://www.nlm.nih.gov/research/umls/rxnorm/index.html'"
},
"expression": [
"Library/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Library.relatedArtifact[10].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 117437
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR vs https://madie.cms.gov/Library/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-Status",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-Status",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/Status: Library.extension[4].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 97
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/Status: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 117
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/Status: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 121
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/Status: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 9132
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/Status: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/Status vs https://madie.cms.gov/Library/Status"
},
"expression": [
"/scratch/repo/input/resources/library/Status"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-SupplementalDataElements",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-SupplementalDataElements",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 64
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Library/SupplementalDataElements: Library.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 71
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Library/SupplementalDataElements: Library.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 83
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/SupplementalDataElements: Library.extension[3].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/SupplementalDataElements: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 110
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/SupplementalDataElements: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 114
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/SupplementalDataElements: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 7388
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/SupplementalDataElements: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements vs https://madie.cms.gov/Library/SupplementalDataElements"
},
"expression": [
"/scratch/repo/input/resources/library/SupplementalDataElements"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-TJCOverall",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-TJCOverall",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/TJCOverall: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/TJCOverall: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 96
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/TJCOverall: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 100
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/TJCOverall: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/TJCOverall: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 108
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/TJCOverall: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 11789
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/TJCOverall: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/TJCOverall vs https://madie.cms.gov/Library/TJCOverall"
},
"expression": [
"/scratch/repo/input/resources/library/TJCOverall"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Library.extension[6].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 130
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 134
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 138
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 142
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 347
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Library.dataRequirement[1].codeFilter[2].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 360
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 8
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Library/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Library.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51518
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR vs https://madie.cms.gov/Library/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-UseofHighRiskMedicationsintheElderlyFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-UseofHighRiskMedicationsintheElderlyFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/UseofHighRiskMedicationsintheElderlyFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 188
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/UseofHighRiskMedicationsintheElderlyFHIR: Library.extension[18].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 195
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/UseofHighRiskMedicationsintheElderlyFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 214
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/UseofHighRiskMedicationsintheElderlyFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 218
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/UseofHighRiskMedicationsintheElderlyFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 222
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/UseofHighRiskMedicationsintheElderlyFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 226
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/UseofHighRiskMedicationsintheElderlyFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 230
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/UseofHighRiskMedicationsintheElderlyFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 234
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/PalliativeCare|1.11.000'"
},
"expression": [
"Library/UseofHighRiskMedicationsintheElderlyFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 238
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Library/UseofHighRiskMedicationsintheElderlyFHIR: Library.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 242
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/UseofHighRiskMedicationsintheElderlyFHIR: Library.relatedArtifact[7].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 246
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/UseofHighRiskMedicationsintheElderlyFHIR: Library.relatedArtifact[8].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 171406
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/UseofHighRiskMedicationsintheElderlyFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/UseofHighRiskMedicationsintheElderlyFHIR vs https://madie.cms.gov/Library/UseofHighRiskMedicationsintheElderlyFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/UseofHighRiskMedicationsintheElderlyFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-VTE",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-VTE",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/VTE: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/VTE: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 96
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/VTE: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 100
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/VTE: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/CQMCommon|2.2.000'"
},
"expression": [
"Library/VTE: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 5721
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/VTE: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/VTE vs https://madie.cms.gov/Library/VTE"
},
"expression": [
"/scratch/repo/input/resources/library/VTE"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Library-WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Library-WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 3
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 100
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Resource_RES_ID_Malformed_Length"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Invalid Resource id: Too long (89 chars)"
},
"expression": [
"Library/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Library.id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Library.publisher: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm|3.0.0)"
},
"expression": [
"Library/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 69
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Library/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Library.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 76
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Library.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 95
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/Library/QICore-ModelInfo'"
},
"expression": [
"Library/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Library.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 99
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Library/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Library.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|2.1.000'"
},
"expression": [
"Library/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Library.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Library/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Library.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Hospice|6.12.000'"
},
"expression": [
"Library/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Library.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 115
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'http://ecqi.healthit.gov/ecqms/Library/Status|1.8.000'"
},
"expression": [
"Library/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Library.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 10
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42176
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Language_XHTML_Lang_Missing1"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "Resource has a language, but the XHTML does not have an lang or an xml:lang tag (needs both - see https://www.w3.org/TR/i18n-html-tech-lang/#langvalues)"
},
"expression": [
"Library/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Library"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Library/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR vs https://madie.cms.gov/Library/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR"
},
"expression": [
"/scratch/repo/input/resources/library/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-AlaraCTClinicalFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-AlaraCTClinicalFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 591
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 780
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16170
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16170
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16267
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16267
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16362
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16362
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16466
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/AlaraCommonFunctions|1.5.000)"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16466
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/AlaraCommonFunctions|1.5.000'"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18950
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18639
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity \\n SDE Payer \\n SDE Race \\n SDE Sex \\n '"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18949
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19086
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19279
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19534
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20188
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20436
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34391
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35053
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35297
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35297
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35782
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36185
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36587
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37146
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20677
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/AlaraCTClinicalFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/AlaraCTClinicalFHIR vs https://madie.cms.gov/Measure/AlaraCTClinicalFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/AlaraCTClinicalFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-AntidepressantMedicationManagementFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-AntidepressantMedicationManagementFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1284
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[3].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1523
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[4].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35679
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35679
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35774
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35774
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35878
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CumulativeMedicationDuration|4.1.000)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35878
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35975
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35975
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36063
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36063
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36154
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36154
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40776
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40775
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47803
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47996
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48270
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48924
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60207
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60869
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61113
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61113
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61710
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62006
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62483
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62943
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62979
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.group[1].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63641
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.group[1].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64204
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.group[1].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64458
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.group[1].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64935
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.group[1].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65397
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.group[1].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65402
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62946
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.group[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65400
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.group[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65402
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65402
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65402
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49109
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/AntidepressantMedicationManagementFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/AntidepressantMedicationManagementFHIR vs https://madie.cms.gov/Measure/AntidepressantMedicationManagementFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/AntidepressantMedicationManagementFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-AppropriateDXAScansForWomenUnder65FHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-AppropriateDXAScansForWomenUnder65FHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42898
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42898
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42995
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42995
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43090
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43090
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43194
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CumulativeMedicationDuration|4.1.000)"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43194
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66266
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66459
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66733
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67386
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67634
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75676
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 76338
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 76582
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 76582
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77011
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77307
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78993
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 79347
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 80027
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.group[0].population[4].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 80032
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 80032
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 80032
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 80032
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67901
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/AppropriateDXAScansForWomenUnder65FHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/AppropriateDXAScansForWomenUnder65FHIR vs https://madie.cms.gov/Measure/AppropriateDXAScansForWomenUnder65FHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/AppropriateDXAScansForWomenUnder65FHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-AppropriateTestingforPharyngitisFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-AppropriateTestingforPharyngitisFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: b"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1713
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[5].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1952
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[6].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33201
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33201
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33296
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33296
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33393
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33393
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33481
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33481
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33574
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Antibiotic|1.7.000)"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33574
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Antibiotic|1.7.000'"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33678
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CumulativeMedicationDuration|4.1.000)"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33678
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39591
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39489
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47975
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48168
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48440
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49094
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56188
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56852
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57096
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57096
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57715
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58011
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58774
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59175
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59526
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace '- 3-17 years '"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.group[0].stratifier[0].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59604
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60017
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60437
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.group[0].stratifier[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60442
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59605
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.group[0].stratifier[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59604
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60018
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.group[0].stratifier[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60017
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60438
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.group[0].stratifier[2]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60437
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.group[0].stratifier[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60442
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60442
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60442
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49276
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/AppropriateTestingforPharyngitisFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/AppropriateTestingforPharyngitisFHIR vs https://madie.cms.gov/Measure/AppropriateTestingforPharyngitisFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/AppropriateTestingforPharyngitisFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: b"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1513
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[4].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1752
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[5].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30400
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30400
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30495
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30495
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30592
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30592
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30680
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30680
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30773
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Antibiotic|1.7.000)"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30773
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Antibiotic|1.7.000'"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30877
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CumulativeMedicationDuration|4.1.000)"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30877
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44615
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44808
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45099
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45753
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52108
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52772
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53016
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53016
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53564
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53860
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54590
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55062
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55494
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55905
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56323
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.group[0].stratifier[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56328
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55495
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.group[0].stratifier[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55494
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55906
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.group[0].stratifier[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55905
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56324
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.group[0].stratifier[2]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56323
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.group[0].stratifier[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56328
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56328
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56328
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45978
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR vs https://madie.cms.gov/Measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/AppropriateTreatmentforUpperRespiratoryInfectionURIFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 627
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 816
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1066
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '456381000124102' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[2].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21985
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21985
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22080
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22080
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22177
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22177
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26170
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '456381000124102' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[6].codeFilter[0].code[0].code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26220
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[6].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26449
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[6].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26347
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[6].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27421
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[9].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28162
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28161
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28298
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28491
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28782
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29436
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34009
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34671
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35595
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35891
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36297
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36951
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37924
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37924
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37924
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37924
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29702
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR vs https://madie.cms.gov/Measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/BoneDensityProstateCancerAndrogenDeprivationTherapyFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-BreastCancerScreeningFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-BreastCancerScreeningFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 634
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 873
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 3064
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "INACTIVE_DISPLAY_FOUND"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "'Lives in a nursing home (finding)' is no longer considered a correct display for code '160734000' (status = inactive). The correct display is one of Lives in nursing home (finding),Lives in nursing home"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[12].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37840
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37840
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37937
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37937
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38032
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38032
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38156
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/AdultOutpatientEncounters|4.11.000)"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38156
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/AdultOutpatientEncounters|4.11.000'"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38244
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38244
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38354
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/AdvancedIllnessandFrailty|1.16.000)"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38354
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/AdvancedIllnessandFrailty|1.16.000'"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38458
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CumulativeMedicationDuration|4.1.000)"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38458
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38560
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/PalliativeCare|1.11.000)"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[7].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38560
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/PalliativeCare|1.11.000'"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[7].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54644
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54837
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55098
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55752
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63345
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64007
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64251
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64251
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64662
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64958
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66157
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66568
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66573
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66573
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66573
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66573
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55911
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/BreastCancerScreeningFHIR vs https://madie.cms.gov/Measure/BreastCancerScreeningFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/BreastCancerScreeningFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CADBetaBlockerTherapyPriorMIorLVSDFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CADBetaBlockerTherapyPriorMIorLVSDFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 610
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 799
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46962
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46962
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47057
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47057
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47143
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/AHAOverall|2.8.000)"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47143
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/AHAOverall|2.8.000'"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47240
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47240
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57753
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[19].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60416
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60415
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60552
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60745
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61019
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61672
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61920
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69186
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70396
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70395
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_Primitive_Regex_Type"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Element value 'This measure is intended to have one reporting rate, which aggregates the following populations into a single performance rate for reporting purposes: \n- Population 1: Patients with left ventricular systolic dysfunction (LVEF <=40%)\n- Population 2: Patients with a prior (within the past 3 years) myocardial infarction\n\nFor the purposes of this measure, a single performance rate can be calculated as follows:\nPerformance Rate = (Numerator 1 + Numerator 2)/ [(Denominator 1 - Denominator Exceptions 1) + (Denominator 2 - Denominator Exceptions 2)]' does not meet code regex '[^\\s]+(\\s[^\\s]+)*'"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.group[0].extension[3].value.ofType(code)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70395
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_Code_WS"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "The code 'This measure is intended to have one reporting rate, which aggregates the following populations into a single performance rate for reporting purposes: \n- Population 1: Patients with left ventricular systolic dysfunction (LVEF <=40%)\n- Population 2: Patients with a prior (within the past 3 years) myocardial infarction\n\nFor the purposes of this measure, a single performance rate can be calculated as follows:\nPerformance Rate = (Numerator 1 + Numerator 2)/ [(Denominator 1 - Denominator Exceptions 1) + (Denominator 2 - Denominator Exceptions 2)]' is not valid (whitespace rules)"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.group[0].extension[3].value.ofType(code)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71116
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71496
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71812
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72522
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72558
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.group[1].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73768
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.group[1].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73767
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_Primitive_Regex_Type"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Element value 'This measure is intended to have one reporting rate, which aggregates the following populations into a single performance rate for reporting purposes: \n- Population 1: Patients with left ventricular systolic dysfunction (LVEF <=40%)\n- Population 2: Patients with a prior (within the past 3 years) myocardial infarction\n\nFor the purposes of this measure, a single performance rate can be calculated as follows:\nPerformance Rate = (Numerator 1 + Numerator 2)/ [(Denominator 1 - Denominator Exceptions 1) + (Denominator 2 - Denominator Exceptions 2)]' does not meet code regex '[^\\s]+(\\s[^\\s]+)*'"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.group[1].extension[3].value.ofType(code)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73767
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_Code_WS"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "The code 'This measure is intended to have one reporting rate, which aggregates the following populations into a single performance rate for reporting purposes: \n- Population 1: Patients with left ventricular systolic dysfunction (LVEF <=40%)\n- Population 2: Patients with a prior (within the past 3 years) myocardial infarction\n\nFor the purposes of this measure, a single performance rate can be calculated as follows:\nPerformance Rate = (Numerator 1 + Numerator 2)/ [(Denominator 1 - Denominator Exceptions 1) + (Denominator 2 - Denominator Exceptions 2)]' is not valid (whitespace rules)"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.group[1].extension[3].value.ofType(code)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74488
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.group[1].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74868
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.group[1].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75184
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.group[1].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75894
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.group[1].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 76867
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72525
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.group[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75897
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.group[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 76867
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 76867
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 76867
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62227
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR vs https://madie.cms.gov/Measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/CADBetaBlockerTherapyPriorMIorLVSDFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS1017HHFIFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS1017HHFIFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 14919
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 14919
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15014
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15014
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17167
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[0].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17505
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17724
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17622
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18059
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18608
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19629
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19822
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20096
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20832
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21102
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29859
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30513
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30757
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'decrease' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30757
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31220
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31516
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31905
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32371
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32753
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.group[0].population[4].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32918
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod' definition allows for the types [code] but found type string"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.group[0].population[5].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32917
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "UNABLE_TO_INFER_CODESYSTEM"
}
],
"severity": "error",
"code": "not-found",
"details": {
"text": "The System URI could not be determined for the code 'Sum' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.group[0].population[5].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32917
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_16"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "The value provided ('Sum') was not found in the value set 'Measure Aggregate Method' (http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0), and a code is required from this value set (error message = The System URI could not be determined for the code 'Sum' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'; The provided code '#Sum' was not found in the value set 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0')"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.group[0].population[5].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33399
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'Denominator Observation, associated with the Denominator: The total number of eligible days across all encounters which match the initial population/denominator criteria. '"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.group[0].population[5].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33484
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.group[0].population[5].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33651
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod' definition allows for the types [code] but found type string"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.group[0].population[6].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33650
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "UNABLE_TO_INFER_CODESYSTEM"
}
],
"severity": "error",
"code": "not-found",
"details": {
"text": "The System URI could not be determined for the code 'Count' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.group[0].population[6].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33650
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_16"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "The value provided ('Count') was not found in the value set 'Measure Aggregate Method' (http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0), and a code is required from this value set (error message = The System URI could not be determined for the code 'Count' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'; The provided code '#Count' was not found in the value set 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0')"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.group[0].population[6].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34229
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure.group[0].population[6].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34234
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34234
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34234
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1017HHFIFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS1017HHFIFHIR vs https://madie.cms.gov/Measure/CMS1017HHFIFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS1017HHFIFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS1028FHIRPCSevereOBComps",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS1028FHIRPCSevereOBComps",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 984
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.extension[2].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1173
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.extension[3].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1347
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'Systolic BP' for http://loinc.org#8480-6. Valid display is one of 3 choices: 'Systolic blood pressure' (en-US), 'Systolic blood pressure' (en-US) or 'BP sys' (en-US) (for the language(s) 'en-US')"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.extension[4].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62284
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/PCMaternal|5.19.000)"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62284
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/PCMaternal|5.19.000'"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62375
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62375
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62470
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62470
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62567
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62567
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62667
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62667
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78026
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[0].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78513
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78732
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78630
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 79219
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 79893
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 80220
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[5].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 80547
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[6].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 82239
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[12].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 85221
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 84910
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex for stratified hospital-specific reports after data submission. The variable calculated gestational age, SOC diagnosis details, and SOC procedure details are derived or calculated from diagnosis and encounter data provided in the QRDA I on the receiving end and thus, are not additionally submitted by hospitals.\\n\\n \\n '"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 85220
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 87271
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.extension[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 87270
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.extension[1].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 87407
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 87600
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.extension[3].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 87885
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 88621
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 88891
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 98634
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 100165
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 100164
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_Primitive_Regex_Type"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Element value 'Two hospital-level measure scores are calculated as a risk-adjusted proportion reported as a rate per 10,000 delivery hospitalizations: 1. All Severe Obstetric Complications (SOC). ((Num1 – NumExcl1) / Den) * 10,000 2. SOC excluding encounters where transfusion was the only SOC. ((Num2 – NumExcl2) / Den) * 10,000 Num1: Delivery encounters with SOC Num2: Delivery encounters with SOC excluding encounters where transfusion was the only SOC NumExcl1: Delivery encounters with blood transfusion or hysterectomy with placenta percreta or placenta increta and no additional SOCs NumExcl2: Delivery encounters with SOC excluding encounters where transfusion was the only SOC with a hysterectomy or blood transfusion with a diagnosis of placenta percreta or placenta increta and no additional SOCs Den: Delivery encounters with > or = 20 weeks' gestation completed' does not meet code regex '[^\\s]+(\\s[^\\s]+)*'"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.group[0].extension[3].value.ofType(code)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 100164
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_Code_WS"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "The code 'Two hospital-level measure scores are calculated as a risk-adjusted proportion reported as a rate per 10,000 delivery hospitalizations: 1. All Severe Obstetric Complications (SOC). ((Num1 – NumExcl1) / Den) * 10,000 2. SOC excluding encounters where transfusion was the only SOC. ((Num2 – NumExcl2) / Den) * 10,000 Num1: Delivery encounters with SOC Num2: Delivery encounters with SOC excluding encounters where transfusion was the only SOC NumExcl1: Delivery encounters with blood transfusion or hysterectomy with placenta percreta or placenta increta and no additional SOCs NumExcl2: Delivery encounters with SOC excluding encounters where transfusion was the only SOC with a hysterectomy or blood transfusion with a diagnosis of placenta percreta or placenta increta and no additional SOCs Den: Delivery encounters with > or = 20 weeks' gestation completed' is not valid (whitespace rules)"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.group[0].extension[3].value.ofType(code)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 101037
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 101455
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 103086
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'Num1: All Severe Obstetric Complications (SOC).\\n\\nInpatient hospitalizations for patients with severe obstetric complications (not present on admission that occur during the current delivery encounter) including the following: \\n- Severe maternal morbidity diagnoses (see list below)\\n- Severe maternal morbidity procedures (see list below)\\n- Discharge disposition of expired\\nPlease note that present on admission codes may be extracted from billing/claims data that was entered by coding staff.\\n\\nSevere Maternal Morbidity Diagnoses:\\n- Cardiac\\n\\t Acute heart failure \\n\\t Acute myocardial infarction\\n\\t Aortic aneurysm\\n\\t Cardiac arrest/ventricular fibrillation\\n\\t Heart failure/arrest during procedure or surgery\\n- Hemorrhage\\n\\t Disseminated intravascular coagulation\\n\\t Shock\\n- Renal\\n Acute renal failure\\n- Respiratory\\n\\t Adult respiratory distress syndrome\\n\\t Pulmonary edema\\n- Sepsis\\n- Other OB\\n\\t Air and thrombotic embolism\\n\\t Amniotic fluid embolism\\n\\t Eclampsia\\n\\t Severe anesthesia complications\\n- Other Medical\\n\\t Puerperal cerebrovascular disorder\\n\\t Sickle cell disease with crisis\\n\\nSevere Maternal Morbidity Procedures:\\n- Blood transfusion\\n- Conversion of cardiac rhythm\\n- Hysterectomy\\n- Temporary tracheostomy\\n- Ventilation\\n'"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.group[0].population[2].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 103157
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 103725
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 103761
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.group[1].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 105292
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.group[1].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 105291
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_Primitive_Regex_Type"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Element value 'Two hospital-level measure scores are calculated as a risk-adjusted proportion reported as a rate per 10,000 delivery hospitalizations: 1. All Severe Obstetric Complications (SOC). ((Num1 – NumExcl1) / Den) * 10,000 2. SOC excluding encounters where transfusion was the only SOC. ((Num2 – NumExcl2) / Den) * 10,000 Num1: Delivery encounters with SOC Num2: Delivery encounters with SOC excluding encounters where transfusion was the only SOC NumExcl1: Delivery encounters with blood transfusion or hysterectomy with placenta percreta or placenta increta and no additional SOCs NumExcl2: Delivery encounters with SOC excluding encounters where transfusion was the only SOC with a hysterectomy or blood transfusion with a diagnosis of placenta percreta or placenta increta and no additional SOCs Den: Delivery encounters with > or = 20 weeks' gestation completed' does not meet code regex '[^\\s]+(\\s[^\\s]+)*'"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.group[1].extension[3].value.ofType(code)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 105291
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_Code_WS"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "The code 'Two hospital-level measure scores are calculated as a risk-adjusted proportion reported as a rate per 10,000 delivery hospitalizations: 1. All Severe Obstetric Complications (SOC). ((Num1 – NumExcl1) / Den) * 10,000 2. SOC excluding encounters where transfusion was the only SOC. ((Num2 – NumExcl2) / Den) * 10,000 Num1: Delivery encounters with SOC Num2: Delivery encounters with SOC excluding encounters where transfusion was the only SOC NumExcl1: Delivery encounters with blood transfusion or hysterectomy with placenta percreta or placenta increta and no additional SOCs NumExcl2: Delivery encounters with SOC excluding encounters where transfusion was the only SOC with a hysterectomy or blood transfusion with a diagnosis of placenta percreta or placenta increta and no additional SOCs Den: Delivery encounters with > or = 20 weeks' gestation completed' is not valid (whitespace rules)"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.group[1].extension[3].value.ofType(code)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 106001
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.group[1].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 106323
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.group[1].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 108197
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.group[1].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 108866
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.group[1].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 103728
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.group[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 108869
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure.group[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 122722
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 122722
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 122722
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1028FHIRPCSevereOBComps: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS1028FHIRPCSevereOBComps vs https://madie.cms.gov/Measure/CMS1028FHIRPCSevereOBComps"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS1028FHIRPCSevereOBComps"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS104FHIRSTKDCAntithrombotic",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS104FHIRSTKDCAntithrombotic",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 601
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 790
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21085
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21085
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21172
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/TJCOverall|8.15.000)"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21172
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/TJCOverall|8.15.000'"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21267
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21267
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21358
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21358
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21455
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21455
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25506
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25920
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26139
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26037
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30885
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30574
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity-Patient's Ethnicity:\\nHispanic or Latino\\nNot Hispanic or Latino\\n \\n SDE Payer-Patient's Payer:\\nCategories of types of health care payer entities as defined by the US Public Health Data Consortium SOP code system\\n \\n SDE Race-Patient's Race:\\nNative Hawaiian or Other Pacific Islander\\nAsian\\nAmerican Indian or Alaska Native\\nOther Race\\nWhite\\nBlack or African American\\n \\n SDE Sex-Patient's Sex:\\nGender identity restricted to only Male and Female used in administrative situations requiring a restriction to these two categories.\\n \\n '"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30884
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31021
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31214
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31502
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32239
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37471
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38135
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39032
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39328
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40257
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40639
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41170
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure.group[0].population[4].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42143
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42143
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42143
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS104FHIRSTKDCAntithrombotic: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS104FHIRSTKDCAntithrombotic vs https://madie.cms.gov/Measure/CMS104FHIRSTKDCAntithrombotic"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS104FHIRSTKDCAntithrombotic"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS1074AlaraCTIQRFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS1074AlaraCTIQRFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 593
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 782
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16746
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16746
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16841
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16841
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16938
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16938
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17042
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/AlaraCommonFunctions|1.5.000)"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17042
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/AlaraCommonFunctions|1.5.000'"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18792
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18791
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20471
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20160
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity-Ethnicity of the Patient \\n SDE Payer-Payer that was billed \\n SDE Race-Race of the Patient \\n SDE Sex-Administrative Gender \\n '"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20470
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20607
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20800
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21080
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21816
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22086
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41087
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41753
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42550
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42895
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'Equals Initial population with a CT Dose and Image Quality Category, a Calculated Global Noise value, and a Calculated CT Size-Adjusted Dose value '"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.group[0].population[1].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42968
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43351
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43861
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44834
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44834
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44834
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22347
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/CMS1074AlaraCTIQRFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS1074AlaraCTIQRFHIR vs https://madie.cms.gov/Measure/CMS1074AlaraCTIQRFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS1074AlaraCTIQRFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS108VTEProphylaxisFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS108VTEProphylaxisFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 596
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 785
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50031
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50031
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50110
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/VTE|8.9.000)"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50110
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/VTE|8.9.000'"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50201
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50201
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50296
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50296
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50393
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50393
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50480
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/TJCOverall|8.15.000)"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50480
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/TJCOverall|8.15.000'"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58902
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59405
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59624
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59522
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60124
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61503
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[7].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61999
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[8].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62387
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[9].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62775
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[10].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63159
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[11].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63547
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[12].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68291
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[27].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68508
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[27].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68411
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[27].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81283
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 80972
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity-Patient's Ethnicity:\\nHispanic or Latino\\nNot Hispanic or Latino \\n SDE Race-Patient's Race:\\nNative Hawaiian or Other Pacific Islander\\nAsian\\nAmerican Indian or Alaska Native\\nOther Race\\nWhite\\nBlack or African American \\n SDE Sex-Patient's Sex:\\nGender identity restricted to only Male and Female used in administrative situations requiring a restriction to these two categories. \\n SDE Payer \\n '"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81282
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81419
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81612
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81895
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 82632
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90286
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90950
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 91739
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 92035
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 93148
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 93940
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94913
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94913
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94913
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS108VTEProphylaxisFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS108VTEProphylaxisFHIR vs https://madie.cms.gov/Measure/CMS108VTEProphylaxisFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS108VTEProphylaxisFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS1206ALARACTOQRFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS1206ALARACTOQRFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 593
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 782
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19842
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19842
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19939
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19939
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20034
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20034
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20138
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/AlaraCommonFunctions|1.5.000)"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20138
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/AlaraCommonFunctions|1.5.000'"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23015
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22704
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity \\n SDE Payer \\n SDE Race \\n SDE Sex \\n '"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23014
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23151
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23344
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23624
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24360
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24630
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43724
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44390
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45257
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45674
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46057
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46567
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47540
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47540
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47540
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24891
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/CMS1206ALARACTOQRFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS1206ALARACTOQRFHIR vs https://madie.cms.gov/Measure/CMS1206ALARACTOQRFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS1206ALARACTOQRFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS1218HHRFFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS1218HHRFFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44976
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44976
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45067
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45067
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45164
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45164
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45261
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/HospitalHarm|1.1.000)"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45261
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/HospitalHarm|1.1.000'"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51426
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51859
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[5].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52078
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[5].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51976
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[5].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52650
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[6].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52548
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[6].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56481
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56674
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56948
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57684
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57954
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66130
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66794
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67038
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67038
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67619
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67915
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69226
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70901
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'Elective inpatient hospitalizations for patients with postoperative respiratory failure as evidenced by any of the following:\\n\\nCriterion A: Mechanical ventilation (MV) initiated within 30 days after first OR procedure, as evidenced by:\\n\\nA.1. Intubation that occurs outside of a procedural area and within 30 days after the end of the\\u202ffirst OR procedure of the encounter.\\n\\nor\\n\\nA.2. MV that occurs outside of a procedural area within 30 days after the end of the first OR procedure of the encounter and is preceded by a period of non-invasive oxygen therapy between the end of the OR procedure and the MV occurrence, and without a subsequent OR procedure between the non-invasive oxygen therapy and the MV occurrence.\\n\\nor\\n\\nCriterion B: MV with a duration of more than 48 hours after the first OR procedure, as evidenced by:\\n\\nB.1. Extubation that occurs outside of a procedural area more than 48 hours after the end of an OR procedure and within 30 days after the end of the first OR procedure, and is not preceded by a period of non-invasive oxygen therapy or a subsequent OR procedure between the end of the OR procedure and the extubation occurrence.\\n\\nor\\n\\nB.2 Mechanical ventilation that occurs between 48 and 72 hours after the end of an OR procedure and within 30 days after the end of the first OR procedure, and is not preceded by a non-invasive oxygen therapy or a subsequent OR procedure between the end of the OR procedure and the MV occurrence.\\u202f'"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.group[0].population[3].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70972
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70977
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70977
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70977
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1218HHRFFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS1218HHRFFHIR vs https://madie.cms.gov/Measure/CMS1218HHRFFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS1218HHRFFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS1244ECCQHOQRFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS1244ECCQHOQRFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: b"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 591
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 780
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1204
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '5751000175101' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[3].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29559
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29559
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29654
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29654
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29745
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29745
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29842
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29842
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34849
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35501
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36153
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[5].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36947
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[8].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37534
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '5751000175101' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[10].codeFilter[0].code[0].code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37887
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[11].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39386
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39385
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39522
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39715
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39993
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40731
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47735
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48399
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49134
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49430
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50667
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'The numerator is comprised of ED visits meeting the denominator criteria and where the patient experiences any of the following quality gaps in access:\\n1. The patient waited longer than 60 minutes (1 hour) after arrival to the ED to be placed in a treatment room or dedicated treatment area that allows for audiovisual privacy during history-taking and physical examination, or \\n2. The patient left the ED without being evaluated, or \\n3. The patient boarded (time from Decision to Admit order to ED departure for admitted patients) in the ED for longer than 240 minutes (4 hours), or\\n4. The patient had an ED length of stay (LOS) (time from ED arrival to ED departure as defined by the ED departure timestamp indicating when the patient physically left the ED) of longer than 480 minutes (8 hours).\\n\\nED encounters with ED observation stays are excluded from criteria #3 (boarding) and #4 (ED LOS). To clarify, patients who have a ‘decision to admit’ after an ED observation stay remain excluded from criteria #3 (boarded) calculations. '"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].population[2].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50738
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52182
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Maximum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.group.stratifier.extension:appliesTo: max allowed = 1, but found 4 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].stratifier[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52181
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53606
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Maximum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.group.stratifier.extension:appliesTo: max allowed = 1, but found 4 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].stratifier[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53605
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54888
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Maximum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.group.stratifier.extension:appliesTo: max allowed = 1, but found 4 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].stratifier[2]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54887
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].stratifier[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56166
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Maximum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.group.stratifier.extension:appliesTo: max allowed = 1, but found 4 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].stratifier[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56165
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].stratifier[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52182
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].stratifier[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52181
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53606
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].stratifier[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53605
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54888
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].stratifier[2]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54887
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].stratifier[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56166
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].stratifier[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56165
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure.group[0].stratifier[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57380
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57380
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57380
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1244ECCQHOQRFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS1244ECCQHOQRFHIR vs https://madie.cms.gov/Measure/CMS1244ECCQHOQRFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS1244ECCQHOQRFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS1264ECCQREHQRFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS1264ECCQREHQRFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: b"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 592
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 781
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22323
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22323
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22418
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22418
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22509
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22509
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22606
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22606
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27530
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27529
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27974
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28411
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[5].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28932
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[7].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28986
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[7].codeFilter[2].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29339
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[8].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30214
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30213
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30350
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30543
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30822
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31560
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37446
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38110
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38481
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'All ED visits at REHs that end during the measurement period for all patients\\n'"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38864
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39160
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40299
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41743
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Maximum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.group.stratifier.extension:appliesTo: max allowed = 1, but found 4 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].stratifier[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41742
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43167
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Maximum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.group.stratifier.extension:appliesTo: max allowed = 1, but found 4 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].stratifier[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43166
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44449
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Maximum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.group.stratifier.extension:appliesTo: max allowed = 1, but found 4 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].stratifier[2]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44448
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].stratifier[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45727
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Maximum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.group.stratifier.extension:appliesTo: max allowed = 1, but found 4 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].stratifier[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45726
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].stratifier[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41743
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].stratifier[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41742
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43167
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].stratifier[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43166
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44449
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].stratifier[2]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44448
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].stratifier[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45727
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].stratifier[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45726
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure.group[0].stratifier[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46941
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46941
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46941
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS1264ECCQREHQRFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS1264ECCQREHQRFHIR vs https://madie.cms.gov/Measure/CMS1264ECCQREHQRFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS1264ECCQREHQRFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS190VTEProphylaxisICUFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS190VTEProphylaxisICUFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 599
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 788
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50165
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50165
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50244
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/VTE|8.9.000)"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50244
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/VTE|8.9.000'"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50335
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50335
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50430
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50430
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50527
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50527
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50614
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/TJCOverall|8.15.000)"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50614
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/TJCOverall|8.15.000'"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58465
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59531
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59750
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59648
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61047
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[8].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61543
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[9].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61931
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[10].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62319
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[11].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62703
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[12].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63091
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[13].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67835
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[28].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68052
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[28].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67955
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[28].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 80830
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 80519
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity-Patient's Ethnicity:\\nHispanic or Latino\\nNot Hispanic or Latino \\n SDE Payer-Patient's Payer:\\nCategories of types of health care payer entities as defined by the US Public Health Data Consortium SOP code system \\n SDE Race-Patient's Race:\\nNative Hawaiian or Other Pacific Islander\\nAsian\\nAmerican Indian or Alaska Native\\nOther Race\\nWhite\\nBlack or African American \\n SDE Sex-Patient's Sex:\\nGender identity restricted to only Male and Female used in administrative situations requiring a restriction to these two categories. \\n '"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 80829
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 80966
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81159
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81445
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 82182
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90554
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 91218
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 92007
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 92384
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 93254
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94479
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure.group[0].population[4].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 95452
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 95452
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 95452
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS190VTEProphylaxisICUFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS190VTEProphylaxisICUFHIR vs https://madie.cms.gov/Measure/CMS190VTEProphylaxisICUFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS190VTEProphylaxisICUFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS334FHIRPCCesareanBirth",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS334FHIRPCCesareanBirth",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 597
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 786
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31542
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31542
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31636
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/PCMaternal|5.19.000)"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31636
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/PCMaternal|5.19.000'"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31727
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31727
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31822
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31822
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31919
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31919
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35226
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35627
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35846
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35744
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36247
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36788
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[5].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40346
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40035
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity, sex and calculated gestational age\\n '"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40345
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40482
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40675
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40959
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41694
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41964
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57768
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58432
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59240
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59709
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60242
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60578
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61877
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61877
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61877
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS334FHIRPCCesareanBirth: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS334FHIRPCCesareanBirth vs https://madie.cms.gov/Measure/CMS334FHIRPCCesareanBirth"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS334FHIRPCCesareanBirth"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS506FHIRSafeUseofOpioids",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS506FHIRSafeUseofOpioids",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 598
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 787
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25080
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25080
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25171
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25171
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25266
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25266
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25363
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25363
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29787
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30444
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30889
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31108
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31006
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32940
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[9].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35921
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35610
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; \\nSDE Ethnicity \\nSDE Payer \\nSDE Race \\nSDE Sex \\n '"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35920
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36057
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36250
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36535
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37270
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37540
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48157
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48821
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49791
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50087
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51040
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51428
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52401
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52401
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52401
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS506FHIRSafeUseofOpioids: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS506FHIRSafeUseofOpioids vs https://madie.cms.gov/Measure/CMS506FHIRSafeUseofOpioids"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS506FHIRSafeUseofOpioids"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS71FHIRSTKAnticoagAFFlutter",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS71FHIRSTKAnticoagAFFlutter",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 601
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 790
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23717
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23717
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23804
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/TJCOverall|8.15.000)"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23804
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/TJCOverall|8.15.000'"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23899
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23899
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23990
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23990
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24087
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24087
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29875
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30346
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30565
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30463
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32264
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[9].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35099
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34788
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity-Patient's Ethnicity:\\nHispanic or Latino\\nNot Hispanic or Latino \\n SDE Payer-Patient's Payer:\\nCategories of types of health care payer entities as defined by the US Public Health Data Consortium SOP code system \\n SDE Race-Patient's Race:\\nNative Hawaiian or Other Pacific Islander\\nAsian\\nAmerican Indian or Alaska Native\\nOther Race\\nWhite\\nBlack or African American \\n SDE Sex-Patient's Sex:\\nGender identity restricted to only Male and Female used in administrative situations requiring a restriction to these two categories. \\n '"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35098
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35235
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35428
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35716
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36452
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42099
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42763
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43705
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44149
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45078
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45461
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45884
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure.group[0].population[4].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46857
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46857
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46857
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS71FHIRSTKAnticoagAFFlutter: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS71FHIRSTKAnticoagAFFlutter vs https://madie.cms.gov/Measure/CMS71FHIRSTKAnticoagAFFlutter"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS71FHIRSTKAnticoagAFFlutter"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS72FHIRSTKAntithromboticDay2",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS72FHIRSTKAntithromboticDay2",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 602
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 791
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28780
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28780
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28867
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/TJCOverall|8.15.000)"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28867
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/TJCOverall|8.15.000'"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28962
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28962
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29053
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29053
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29150
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29150
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33201
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33615
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33834
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33732
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36980
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[12].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39019
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38708
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity-Patient's Ethnicity:\\nHispanic or Latino\\nNot Hispanic or Latino \\n SDE Payer-Patient's Payer:\\nCategories of types of health care payer entities as defined by the US Public Health Data Consortium SOP code system\\n \\n SDE Race-Patient's Race:\\nNative Hawaiian or Other Pacific Islander\\nAsian\\nAmerican Indian or Alaska Native\\nOther Race\\nWhite\\nBlack or African American \\n SDE Sex-Patient's Sex:\\nGender identity restricted to only Male and Female used in administrative situations requiring a restriction to these two categories. \\n '"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39018
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39155
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39348
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39637
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40373
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46292
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46956
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47841
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48137
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48820
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49208
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49899
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure.group[0].population[4].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50872
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50872
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50872
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS72FHIRSTKAntithromboticDay2: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS72FHIRSTKAntithromboticDay2 vs https://madie.cms.gov/Measure/CMS72FHIRSTKAntithromboticDay2"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS72FHIRSTKAntithromboticDay2"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS816HHHypoFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS816HHHypoFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 588
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 777
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15385
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15385
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15480
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15480
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15577
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15577
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15668
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15668
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17739
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18065
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18284
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18182
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18607
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19050
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19049
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20931
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20620
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity \\n SDE Payer \\n SDE Race \\n SDE Sex \\n '"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20930
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21067
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21260
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21535
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22270
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22540
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32697
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33361
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33605
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'decrease' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33605
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34294
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34590
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35644
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36617
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36617
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36617
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS816HHHypoFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS816HHHypoFHIR vs https://madie.cms.gov/Measure/CMS816HHHypoFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS816HHHypoFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS819HHORAEFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS819HHORAEFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 588
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 777
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 14776
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 14776
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 14871
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 14871
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 14968
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 14968
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15059
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15059
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18840
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[6].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19177
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[7].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19396
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[7].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19294
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[7].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19730
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[8].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20873
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20562
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity \\n SDE Payer \\n SDE Race \\n SDE Sex \\n '"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20872
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21009
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21202
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21477
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22212
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22482
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32531
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33195
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33439
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'decrease' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33439
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33899
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34195
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34858
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35831
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35831
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35831
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS819HHORAEFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS819HHORAEFHIR vs https://madie.cms.gov/Measure/CMS819HHORAEFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS819HHORAEFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS826HHPIFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS826HHPIFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 586
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 775
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20828
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20828
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20923
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20923
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21014
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21014
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21111
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24063
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24389
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24608
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24506
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24943
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25609
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26263
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[5].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27532
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[8].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27427
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[8].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28144
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[9].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28039
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[9].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28942
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28631
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure, also identify payer, race, ethnicity and sex; SDE Ethnicity \\n SDE Payer \\n SDE Race \\n SDE Sex \\n '"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28941
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29078
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29271
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29544
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30279
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30549
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46644
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47308
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47552
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'decrease' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47552
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47916
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48212
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48981
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49854
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50827
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50827
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50827
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS826HHPIFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS826HHPIFHIR vs https://madie.cms.gov/Measure/CMS826HHPIFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS826HHPIFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS832HHAKIFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS832HHAKIFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38780
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38780
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38871
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38871
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38968
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38968
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41228
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41632
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41851
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41749
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44221
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[9].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44124
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[9].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44696
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[10].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44591
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[10].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45101
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45294
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45568
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46303
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46573
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58213
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58877
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59121
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59121
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59732
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60028
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61773
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62612
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62617
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62617
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62617
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS832HHAKIFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS832HHAKIFHIR vs https://madie.cms.gov/Measure/CMS832HHAKIFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS832HHAKIFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS871HHHyperFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS871HHHyperFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 589
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 778
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31804
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31804
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31899
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31899
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31990
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31990
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32087
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32087
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34547
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34889
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35108
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35006
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35483
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36173
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[5].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36172
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[5].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37312
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[8].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38408
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38097
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity \\n SDE Payer \\n SDE Race \\n SDE Sex \\n '"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38407
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38544
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38737
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39013
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39748
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40018
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57308
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57962
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58206
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'decrease' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58206
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58903
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59199
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59843
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace '-Inpatient hospitalizations for patients with a glucose result of >=1000 mg/dL anytime between 1 hour prior to the start of the encounter to 6 hours after the start of the encounter\\n-Inpatient hospitalizations for patients who have comfort care measures ordered or provided during the encounter\\n-Inpatient hospitalizations for patients who have a discharge disposition to home or to a health care facility for hospice care\\n'"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.group[0].population[2].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59927
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60676
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60841
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod' definition allows for the types [code] but found type string"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.group[0].population[4].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60840
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "UNABLE_TO_INFER_CODESYSTEM"
}
],
"severity": "error",
"code": "not-found",
"details": {
"text": "The System URI could not be determined for the code 'Sum' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.group[0].population[4].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60840
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_16"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "The value provided ('Sum') was not found in the value set 'Measure Aggregate Method' (http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0), and a code is required from this value set (error message = The System URI could not be determined for the code 'Sum' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'; The provided code '#Sum' was not found in the value set 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0')"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.group[0].population[4].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61220
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.group[0].population[4].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61385
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod' definition allows for the types [code] but found type string"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.group[0].population[5].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61384
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "UNABLE_TO_INFER_CODESYSTEM"
}
],
"severity": "error",
"code": "not-found",
"details": {
"text": "The System URI could not be determined for the code 'Sum' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.group[0].population[5].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61384
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_16"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "The value provided ('Sum') was not found in the value set 'Measure Aggregate Method' (http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0), and a code is required from this value set (error message = The System URI could not be determined for the code 'Sum' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'; The provided code '#Sum' was not found in the value set 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0')"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.group[0].population[5].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61762
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure.group[0].population[5].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62735
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62735
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62735
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS871HHHyperFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS871HHHyperFHIR vs https://madie.cms.gov/Measure/CMS871HHHyperFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS871HHHyperFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS986FHIRMalnutritionScore",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS986FHIRMalnutritionScore",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 599
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 788
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38992
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38992
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39087
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39087
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39184
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39184
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39275
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39275
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43277
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43944
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44270
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44489
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44387
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44828
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49731
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49730
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49867
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50060
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50346
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51081
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51351
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61003
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61620
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'Population Criteria 1 '"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[0].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62098
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62415
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62870
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63035
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod' definition allows for the types [code] but found type string"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[0].population[3].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63034
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "UNABLE_TO_INFER_CODESYSTEM"
}
],
"severity": "error",
"code": "not-found",
"details": {
"text": "The System URI could not be determined for the code 'Sum' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[0].population[3].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63034
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_16"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "The value provided ('Sum') was not found in the value set 'Measure Aggregate Method' (http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0), and a code is required from this value set (error message = The System URI could not be determined for the code 'Sum' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'; The provided code '#Sum' was not found in the value set 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0')"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[0].population[3].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64223
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64259
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[1].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65352
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[1].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65669
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[1].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66124
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[1].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66289
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod' definition allows for the types [code] but found type string"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[1].population[3].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66288
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "UNABLE_TO_INFER_CODESYSTEM"
}
],
"severity": "error",
"code": "not-found",
"details": {
"text": "The System URI could not be determined for the code 'Sum' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[1].population[3].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66288
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_16"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "The value provided ('Sum') was not found in the value set 'Measure Aggregate Method' (http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0), and a code is required from this value set (error message = The System URI could not be determined for the code 'Sum' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'; The provided code '#Sum' was not found in the value set 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0')"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[1].population[3].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67555
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[1].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67591
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[2].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68686
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[2].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69003
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[2].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69459
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[2].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69624
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod' definition allows for the types [code] but found type string"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[2].population[3].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69623
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "UNABLE_TO_INFER_CODESYSTEM"
}
],
"severity": "error",
"code": "not-found",
"details": {
"text": "The System URI could not be determined for the code 'Sum' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[2].population[3].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69623
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_16"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "The value provided ('Sum') was not found in the value set 'Measure Aggregate Method' (http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0), and a code is required from this value set (error message = The System URI could not be determined for the code 'Sum' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'; The provided code '#Sum' was not found in the value set 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0')"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[2].population[3].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70541
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[2].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70577
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[3].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71669
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[3].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71986
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[3].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72441
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[3].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72606
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod' definition allows for the types [code] but found type string"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[3].population[3].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72605
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "UNABLE_TO_INFER_CODESYSTEM"
}
],
"severity": "error",
"code": "not-found",
"details": {
"text": "The System URI could not be determined for the code 'Sum' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[3].population[3].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72605
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_16"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "The value provided ('Sum') was not found in the value set 'Measure Aggregate Method' (http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0), and a code is required from this value set (error message = The System URI could not be determined for the code 'Sum' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'; The provided code '#Sum' was not found in the value set 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0')"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[3].population[3].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73464
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'Component Measure 4: Eligible encounters for patients with a current \\\"Nutrition Care Plan\\\" performed as a result of a current \\\"Nutrition Assessment Status Finding of Moderately Malnourished\\\" OR current “Nutrition Assessment Status Finding of Severely Malnourished”. \\n\\n“Measure Observation 4” is “Encounters with Nutrition Care Plan”\\n\\n\\\"Measure Observation 4\\\" identifies eligible encounters where a \\\"Nutrition Care Plan\\\" was performed or authored during the encounter (including preceding observation or emergency department encounters). '"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[3].population[3].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73547
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[3].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73583
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[4].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74500
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[4].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74775
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[4].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75080
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[4].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75247
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod' definition allows for the types [code] but found type string"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[4].population[3].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75246
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "UNABLE_TO_INFER_CODESYSTEM"
}
],
"severity": "error",
"code": "not-found",
"details": {
"text": "The System URI could not be determined for the code 'Count' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[4].population[3].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75246
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_16"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "The value provided ('Count') was not found in the value set 'Measure Aggregate Method' (http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0), and a code is required from this value set (error message = The System URI could not be determined for the code 'Count' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'; The provided code '#Count' was not found in the value set 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0')"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[4].population[3].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 76152
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[4].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 76188
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[5].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[5].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77379
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[5].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77684
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[5].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77853
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod' definition allows for the types [code] but found type string"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[5].population[3].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77852
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "UNABLE_TO_INFER_CODESYSTEM"
}
],
"severity": "error",
"code": "not-found",
"details": {
"text": "The System URI could not be determined for the code 'Average' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[5].population[3].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77852
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_16"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "The value provided ('Average') was not found in the value set 'Measure Aggregate Method' (http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0), and a code is required from this value set (error message = The System URI could not be determined for the code 'Average' in the ValueSet 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0'; The provided code '#Average' was not found in the value set 'http://hl7.org/fhir/us/cqfmeasures/ValueSet/aggregate-method|3.0.0')"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[5].population[3].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 79746
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[5].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64226
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67558
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70544
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[2]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73550
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 76155
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[4]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 79749
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure.group[5]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 80830
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 80830
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 80830
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS986FHIRMalnutritionScore: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS986FHIRMalnutritionScore vs https://madie.cms.gov/Measure/CMS986FHIRMalnutritionScore"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS986FHIRMalnutritionScore"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMS996FHIRAptTxforSTEMI",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMS996FHIRAptTxforSTEMI",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 595
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 784
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 3355
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.extension[13].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 3594
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.extension[14].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45934
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45934
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46029
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46029
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46120
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46120
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46217
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46217
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46302
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46302
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54066
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54883
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55615
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56479
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58063
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[7].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64186
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[31].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64185
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[31].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64659
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[32].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64658
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[32].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65771
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[35].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66097
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[36].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66966
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[39].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68147
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[43].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71146
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70835
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex '"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71145
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71282
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71475
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71757
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72494
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 80360
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81024
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81853
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 82149
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 84785
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 85338
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 86006
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure.group[0].population[4].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 86979
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 86979
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 86979
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMS996FHIRAptTxforSTEMI: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMS996FHIRAptTxforSTEMI vs https://madie.cms.gov/Measure/CMS996FHIRAptTxforSTEMI"
},
"expression": [
"/scratch/repo/input/resources/measure/CMS996FHIRAptTxforSTEMI"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMSFHIR529HybridHospitalWideReadmission",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMSFHIR529HybridHospitalWideReadmission",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 598
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'Systolic BP' for http://loinc.org#8480-6. Valid display is one of 3 choices: 'Systolic blood pressure' (en-US), 'Systolic blood pressure' (en-US) or 'BP sys' (en-US) (for the language(s) 'en-US')"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 785
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 974
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.contained[0]/*Library/effective-data-requirements*/.extension[2].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24210
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24210
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24305
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24305
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24402
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24402
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24502
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24502
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28988
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[0].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29330
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29549
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29447
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30030
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29928
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30369
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36307
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36306
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36443
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36636
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36934
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37669
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37938
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52673
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53329
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53573
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'decrease' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53573
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54838
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60037
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60037
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60037
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMSFHIR529HybridHospitalWideReadmission: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMSFHIR529HybridHospitalWideReadmission vs https://madie.cms.gov/Measure/CMSFHIR529HybridHospitalWideReadmission"
},
"expression": [
"/scratch/repo/input/resources/measure/CMSFHIR529HybridHospitalWideReadmission"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CMSFHIR844HybridHospitalWideMortality",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CMSFHIR844HybridHospitalWideMortality",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 596
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'Systolic BP' for http://loinc.org#8480-6. Valid display is one of 3 choices: 'Systolic blood pressure' (en-US), 'Systolic blood pressure' (en-US) or 'BP sys' (en-US) (for the language(s) 'en-US')"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 783
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 972
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.contained[0]/*Library/effective-data-requirements*/.extension[2].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20998
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20998
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21093
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21093
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21190
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21190
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21290
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21290
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25350
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[0].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25692
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25911
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25809
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26392
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26290
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26731
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32081
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32080
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32217
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32410
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32706
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33441
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33710
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47934
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48590
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48834
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'decrease' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48834
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54346
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54346
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54346
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CMSFHIR844HybridHospitalWideMortality: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CMSFHIR844HybridHospitalWideMortality vs https://madie.cms.gov/Measure/CMSFHIR844HybridHospitalWideMortality"
},
"expression": [
"/scratch/repo/input/resources/measure/CMSFHIR844HybridHospitalWideMortality"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CRLReceiptofSpecialistReportFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CRLReceiptofSpecialistReportFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 604
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 793
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15947
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15947
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16044
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16044
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16139
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16139
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19298
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19515
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19514
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19932
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20306
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23124
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[13].codeFilter[0].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23916
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23605
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity SDE Payer SDE Race SDE Sex '"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23915
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24052
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24245
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24513
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25166
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31250
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31912
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32156
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32156
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32810
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33106
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33534
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34507
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34507
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34507
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34507
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25363
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/CRLReceiptofSpecialistReportFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CRLReceiptofSpecialistReportFHIR vs https://madie.cms.gov/Measure/CRLReceiptofSpecialistReportFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/CRLReceiptofSpecialistReportFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-Cataracts2040BCVAwithin90DaysFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-Cataracts2040BCVAwithin90DaysFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 605
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 794
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17164
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17164
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17261
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17261
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17356
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17356
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27954
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28176
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28074
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42615
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42304
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Payer SDE Ethnicity SDE Race SDE Sex '"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42614
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42751
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42944
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43213
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43866
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44114
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53445
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54109
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54353
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54353
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54780
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55076
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55483
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55910
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56883
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56883
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56883
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56883
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44340
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/Cataracts2040BCVAwithin90DaysFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/Cataracts2040BCVAwithin90DaysFHIR vs https://madie.cms.gov/Measure/Cataracts2040BCVAwithin90DaysFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/Cataracts2040BCVAwithin90DaysFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-CervicalCancerScreeningFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-CervicalCancerScreeningFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 855
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1094
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[2].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23927
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23927
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24022
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24022
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24207
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24207
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24309
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/PalliativeCare|1.11.000)"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24309
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/PalliativeCare|1.11.000'"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33927
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34120
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34383
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35037
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40763
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41425
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41669
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41669
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42080
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42376
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42931
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43695
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43700
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43700
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43700
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43700
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35200
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/CervicalCancerScreeningFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/CervicalCancerScreeningFHIR vs https://madie.cms.gov/Measure/CervicalCancerScreeningFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/CervicalCancerScreeningFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Resource_RES_ID_Malformed_Length"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Invalid Resource id: Too long (69 chars)"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 641
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 830
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 11247
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 11247
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 11342
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 11342
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 11433
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 11433
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 11530
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 11530
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17271
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[10].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18012
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18011
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18148
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18341
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18646
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19299
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19547
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28398
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29062
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29306
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29306
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29753
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30049
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30364
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31337
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31337
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31337
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31337
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19804
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR vs https://madie.cms.gov/Measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/ChildandAdolescentMajorDepressiveDisorderMDDSuicideRiskAssessmentFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-ChildhoodImmunizationStatusFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-ChildhoodImmunizationStatusFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1315
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '471321000124106' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[3].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1628
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '471331000124109' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[4].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1908
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '433621000124101' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[5].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2435
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428321000124101' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[7].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2697
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '471341000124104' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[8].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2967
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '471141000124102' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[9].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 3230
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '471311000124103' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[10].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 3661
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428331000124103' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[12].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 3922
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '471361000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[13].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 4507
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[15].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 4746
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[16].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62754
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62754
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62851
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62851
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62946
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62946
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63034
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63034
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72713
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72616
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73261
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73164
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73819
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
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],
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],
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"details": {
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"code": "code-invalid",
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],
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"code": "code-invalid",
"details": {
"text": "Unknown code '471341000124104' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
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{
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],
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"code": "code-invalid",
"details": {
"text": "Unknown code '471141000124102' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
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{
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"valueCode": "Unknown_Code_in_Version"
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],
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"code": "code-invalid",
"details": {
"text": "Unknown code '471311000124103' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
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{
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{
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],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428331000124103' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
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{
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{
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{
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '471361000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[45].codeFilter[0].code[0].code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 95738
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 95931
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 96198
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 96852
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 103271
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 103933
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 104177
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 104177
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 104593
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 104889
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 105521
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 110082
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 110087
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 110087
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 110087
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 110087
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 97023
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/ChildhoodImmunizationStatusFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/ChildhoodImmunizationStatusFHIR vs https://madie.cms.gov/Measure/ChildhoodImmunizationStatusFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/ChildhoodImmunizationStatusFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-ChildrenWhoHaveDentalDecayOrCavitiesFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-ChildrenWhoHaveDentalDecayOrCavitiesFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1286
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[3].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1525
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[4].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17510
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17510
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17605
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17605
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17690
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17690
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17778
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17778
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22087
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22280
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22556
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23209
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29730
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30392
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30636
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30636
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31085
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31381
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31762
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32122
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32127
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32127
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32127
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32127
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23401
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR vs https://madie.cms.gov/Measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/ChildrenWhoHaveDentalDecayOrCavitiesFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-ChlamydiaScreeninginWomenFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-ChlamydiaScreeninginWomenFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: b"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2107
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[7].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2346
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[8].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36866
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36866
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36961
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36961
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37058
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37058
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37162
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CumulativeMedicationDuration|4.1.000)"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37162
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37250
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37250
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52777
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52970
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53235
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53889
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60484
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61146
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61390
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61390
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61831
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62127
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62760
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63093
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63631
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64098
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63632
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.group[0].stratifier[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63631
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64099
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.group[0].stratifier[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64098
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64103
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54057
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/ChlamydiaScreeninginWomenFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/ChlamydiaScreeninginWomenFHIR vs https://madie.cms.gov/Measure/ChlamydiaScreeninginWomenFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/ChlamydiaScreeninginWomenFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-ColonCancerScreeningFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-ColonCancerScreeningFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: b"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 852
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1091
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[2].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2896
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "INACTIVE_DISPLAY_FOUND"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "'Lives in a nursing home (finding)' is no longer considered a correct display for code '160734000' (status = inactive). The correct display is one of Lives in nursing home (finding),Lives in nursing home"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[11].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39708
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39708
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39803
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39803
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39900
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39900
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40024
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/AdultOutpatientEncounters|4.11.000)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40024
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/AdultOutpatientEncounters|4.11.000'"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40112
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40112
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40222
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/AdvancedIllnessandFrailty|1.16.000)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40222
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/AdvancedIllnessandFrailty|1.16.000'"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40326
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CumulativeMedicationDuration|4.1.000)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40326
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40428
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/PalliativeCare|1.11.000)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[7].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40428
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/PalliativeCare|1.11.000'"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[7].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56231
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56424
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56684
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57338
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64375
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65037
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65281
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65281
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65695
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65991
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67073
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67943
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68413
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68868
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68873
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68414
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.group[0].stratifier[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68413
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68869
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.group[0].stratifier[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68868
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68873
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68873
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68873
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57500
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/ColonCancerScreeningFHIR vs https://madie.cms.gov/Measure/ColonCancerScreeningFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/ColonCancerScreeningFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-ControllingHighBloodPressureFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-ControllingHighBloodPressureFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: b"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 604
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 793
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2027
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[7].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2266
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[8].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 3434
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "INACTIVE_DISPLAY_FOUND"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "'Lives in a nursing home (finding)' is no longer considered a correct display for code '160734000' (status = inactive). The correct display is one of Lives in nursing home (finding),Lives in nursing home"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[14].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45665
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45665
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45750
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45750
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45845
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45845
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45942
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45942
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46066
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/AdultOutpatientEncounters|4.11.000)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46066
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/AdultOutpatientEncounters|4.11.000'"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46154
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46154
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46264
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/AdvancedIllnessandFrailty|1.16.000)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46264
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/AdvancedIllnessandFrailty|1.16.000'"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46368
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CumulativeMedicationDuration|4.1.000)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[7].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46368
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[7].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46470
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/PalliativeCare|1.11.000)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[8].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46470
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/PalliativeCare|1.11.000'"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[8].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64048
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63737
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex\\n '"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64047
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64184
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64377
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64645
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65299
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 77876
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78538
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78782
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 78782
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 79342
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 79638
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 80985
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81422
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81788
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81788
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/StructureDefinition/Expression#exp-1"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: exp-1: 'An expression or a reference must be provided (expression.exists() or reference.exists())'"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 82139
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 82139
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/StructureDefinition/Expression#exp-1"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: exp-1: 'An expression or a reference must be provided (expression.exists() or reference.exists())'"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 83112
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81789
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.group[0].stratifier[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 81788
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 82140
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.group[0].stratifier[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 82139
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 83112
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 83112
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 83112
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65473
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/ControllingHighBloodPressureFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/ControllingHighBloodPressureFHIR vs https://madie.cms.gov/Measure/ControllingHighBloodPressureFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/ControllingHighBloodPressureFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-DRCommunicationWithPhysicianManagingDiabetesFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-DRCommunicationWithPhysicianManagingDiabetesFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 620
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 809
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21395
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21395
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21490
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21490
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21587
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 21587
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26949
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[7].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27523
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[8].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28097
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[9].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31191
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30880
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity \\n SDE Payer \\n SDE Race \\n SDE Sex \\n '"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31190
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31327
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31520
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31804
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32458
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39923
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40585
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40829
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40829
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41213
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41560
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42027
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42699
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43672
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43672
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43672
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43672
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32702
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR vs https://madie.cms.gov/Measure/DRCommunicationWithPhysicianManagingDiabetesFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/DRCommunicationWithPhysicianManagingDiabetesFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-DementiaCognitiveAssessmentFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-DementiaCognitiveAssessmentFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 603
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 792
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17294
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17294
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17389
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17389
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17486
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17486
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25944
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25633
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex '"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25943
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26080
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26273
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26540
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27193
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27441
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35638
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36300
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36544
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36544
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36970
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37266
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37652
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38016
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38989
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38989
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38989
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38989
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27613
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/DementiaCognitiveAssessmentFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/DementiaCognitiveAssessmentFHIR vs https://madie.cms.gov/Measure/DementiaCognitiveAssessmentFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/DementiaCognitiveAssessmentFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-DepressionRemissionatTwelveMonthsFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-DepressionRemissionatTwelveMonthsFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 609
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 798
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1876
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[6].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2115
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[7].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23677
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23677
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23772
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23772
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23869
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23869
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30949
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[12].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31168
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[12].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31066
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[12].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31548
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[13].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32154
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[15].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33816
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33505
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex '"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33815
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33952
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34145
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34418
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35071
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35319
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47124
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47786
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48699
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48995
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50014
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50507
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51480
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51480
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51480
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51480
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35504
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/DepressionRemissionatTwelveMonthsFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/DepressionRemissionatTwelveMonthsFHIR vs https://madie.cms.gov/Measure/DepressionRemissionatTwelveMonthsFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/DepressionRemissionatTwelveMonthsFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-DiabetesEyeExamFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-DiabetesEyeExamFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1472
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[4].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1711
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[5].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2879
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "INACTIVE_DISPLAY_FOUND"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "'Lives in a nursing home (finding)' is no longer considered a correct display for code '160734000' (status = inactive). The correct display is one of Lives in nursing home (finding),Lives in nursing home"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[11].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34571
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34571
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34666
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34666
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34751
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34751
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34839
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34839
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34949
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/AdvancedIllnessandFrailty|1.16.000)"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34949
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/AdvancedIllnessandFrailty|1.16.000'"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35053
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CumulativeMedicationDuration|4.1.000)"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35053
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35155
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/PalliativeCare|1.11.000)"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35155
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/PalliativeCare|1.11.000'"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48903
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49096
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49351
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50005
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57487
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58149
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58393
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58393
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58822
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60112
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60874
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60879
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60879
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60879
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60879
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50153
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/DiabetesEyeExamFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/DiabetesEyeExamFHIR vs https://madie.cms.gov/Measure/DiabetesEyeExamFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/DiabetesEyeExamFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1712
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[5].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1951
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[6].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2933
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "INACTIVE_DISPLAY_FOUND"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "'Lives in a nursing home (finding)' is no longer considered a correct display for code '160734000' (status = inactive). The correct display is one of Lives in nursing home (finding),Lives in nursing home"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[11].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37997
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37997
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38092
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38092
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38189
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38189
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38313
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/AdultOutpatientEncounters|4.11.000)"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38313
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/AdultOutpatientEncounters|4.11.000'"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38401
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38401
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38511
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/AdvancedIllnessandFrailty|1.16.000)"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38511
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/AdvancedIllnessandFrailty|1.16.000'"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38615
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CumulativeMedicationDuration|4.1.000)"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38615
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38717
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/PalliativeCare|1.11.000)"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[7].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38717
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/PalliativeCare|1.11.000'"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[7].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52434
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52627
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52918
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53572
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61269
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61931
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62175
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62175
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62604
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62900
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63892
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64342
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64347
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64347
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64347
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64347
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53790
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR vs https://madie.cms.gov/Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-DocumentationofCurrentMedicationsFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-DocumentationofCurrentMedicationsFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 609
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 798
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1024
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428191000124101' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[2].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 9714
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 9714
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 9809
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 9809
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 9906
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 9906
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 11699
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 12022
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 12345
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428191000124101' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].codeFilter[0].code[0].code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 12399
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 12983
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428191000124101' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[5].codeFilter[0].code[0].code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 13036
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[5].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 13587
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 13276
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity SDE Payer SDE Race SDE Sex '"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 13586
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 13723
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 13916
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 14189
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 14842
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24257
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24921
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25165
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25165
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25724
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26020
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26453
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27033
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28006
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28006
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28006
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28006
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15047
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/DocumentationofCurrentMedicationsFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/DocumentationofCurrentMedicationsFHIR vs https://madie.cms.gov/Measure/DocumentationofCurrentMedicationsFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/DocumentationofCurrentMedicationsFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-FallsScreeningForFutureFallRiskFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-FallsScreeningForFutureFallRiskFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 855
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1094
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[2].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18428
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18428
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18523
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18523
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18620
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18620
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18708
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18708
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29244
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29437
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29708
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30362
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37444
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38106
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38350
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38350
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38771
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39067
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39448
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39804
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39809
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39809
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39809
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39809
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30545
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/FallsScreeningForFutureFallRiskFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/FallsScreeningForFutureFallRiskFHIR vs https://madie.cms.gov/Measure/FallsScreeningForFutureFallRiskFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/FallsScreeningForFutureFallRiskFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1106
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[2].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1345
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[3].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46983
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46983
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47074
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47074
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47171
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47171
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47266
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47266
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47370
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CumulativeMedicationDuration|4.1.000)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47370
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47458
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47458
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69348
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[46].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69251
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[46].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71965
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72158
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72448
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73102
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 83168
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 83830
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 84074
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 84074
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 84631
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'Initial Population 1: Children 6-12 years of age as of the Intake Period who had an IPSD and who had a visit within 6 months prior to the IPSD including the IPSD. Children are removed if they had an acute inpatient stay with a principal diagnosis of mental, behavioral or neurodevelopmental disorder during the Initiation Phase. '"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.group[0].population[0].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 84713
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 85011
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 85501
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 85892
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 85928
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.group[1].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 86590
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.group[1].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 86834
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.group[1].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 86834
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.group[1].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 87634
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.group[1].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 87932
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.group[1].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 88422
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.group[1].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 88916
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.group[1].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 88921
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 85895
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.group[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 88919
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.group[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 88921
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 88921
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 88921
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73327
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR vs https://madie.cms.gov/Measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/FollowUpCareforChildrenPrescribedADHDMedicationADDFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-FunctionalStatusAssessmentforTotalHipReplacementFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-FunctionalStatusAssessmentforTotalHipReplacementFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 3780
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[14].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 4019
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[15].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41165
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41165
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41262
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41262
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41357
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41357
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41445
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41445
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45985
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45883
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46523
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46416
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47034
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[5].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46927
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[5].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55006
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55199
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55487
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56140
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64314
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64976
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65220
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65220
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65828
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66124
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67580
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68232
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68237
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68237
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68237
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68237
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56356
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR vs https://madie.cms.gov/Measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/FunctionalStatusAssessmentforTotalHipReplacementFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-FunctionalStatusAssessmentsforHeartFailureFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-FunctionalStatusAssessmentsforHeartFailureFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 7379
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[32].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 7618
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[33].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49118
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49215
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49215
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49310
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49310
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49398
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49398
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64044
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64237
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64519
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65172
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72557
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73219
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73463
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73463
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73971
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74267
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74741
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75522
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75527
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75527
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75527
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 75527
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65375
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/FunctionalStatusAssessmentsforHeartFailureFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/FunctionalStatusAssessmentsforHeartFailureFHIR vs https://madie.cms.gov/Measure/FunctionalStatusAssessmentsforHeartFailureFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/FunctionalStatusAssessmentsforHeartFailureFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-HFACEIorARBorARNIforLVSDFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-HFACEIorARBorARNIforLVSDFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 600
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 789
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38253
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38253
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38339
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/AHAOverall|2.8.000)"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38339
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/AHAOverall|2.8.000'"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38436
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38436
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38531
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38531
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48522
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[19].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48848
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[20].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50592
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50281
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex '"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50591
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50728
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50921
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51185
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51838
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52086
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61739
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62401
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63158
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63490
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63957
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64335
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64961
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.group[0].population[4].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65934
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65934
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65934
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65934
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52437
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/HFACEIorARBorARNIforLVSDFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/HFACEIorARBorARNIforLVSDFHIR vs https://madie.cms.gov/Measure/HFACEIorARBorARNIforLVSDFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/HFACEIorARBorARNIforLVSDFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-HFBetaBlockerTherapyforLVSDFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-HFBetaBlockerTherapyforLVSDFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 603
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 792
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42403
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42403
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42498
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42498
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42584
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/AHAOverall|2.8.000)"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42584
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/AHAOverall|2.8.000'"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42681
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42681
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54686
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[25].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55012
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[26].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55338
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[27].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56658
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56347
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity SDE Payer SDE Race SDE Sex '"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56657
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56794
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56987
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57254
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57907
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58155
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64934
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65596
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66353
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66685
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67152
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67514
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68220
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.group[0].population[4].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69193
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69193
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69193
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69193
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58386
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/HFBetaBlockerTherapyforLVSDFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/HFBetaBlockerTherapyforLVSDFHIR vs https://madie.cms.gov/Measure/HFBetaBlockerTherapyforLVSDFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/HFBetaBlockerTherapyforLVSDFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-HIVRetentionFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-HIVRetentionFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 588
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 777
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16029
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16029
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16124
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16124
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16221
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16221
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23693
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23382
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity-For every patient evaluated by this measure also identify payer, race, ethnicity and sex SDE Payer SDE Race SDE Sex '"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23692
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23829
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24022
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24274
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24929
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25270
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace ' https://www.hrsa.gov/'"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.contact[0].telecom[0].value"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27825
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace ' https://www.hrsa.gov/'"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.author[0].telecom[0].value"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31624
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32286
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32530
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32530
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33070
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33366
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33811
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34784
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34784
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34784
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34784
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25085
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/HIVRetentionFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/HIVRetentionFHIR vs https://madie.cms.gov/Measure/HIVRetentionFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/HIVRetentionFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-HIVSTITestingFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-HIVSTITestingFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 589
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 778
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16001
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16001
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16096
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16096
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16193
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16193
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24416
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24105
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex '"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24415
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24552
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24745
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24998
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25653
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26031
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace ' https://www.hrsa.gov/'"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.contact[0].telecom[0].value"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27994
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace ' https://www.hrsa.gov/'"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.author[0].telecom[0].value"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31952
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32614
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32858
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32858
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33364
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33660
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34055
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35028
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35028
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35028
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35028
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25846
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/HIVSTITestingFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/HIVSTITestingFHIR vs https://madie.cms.gov/Measure/HIVSTITestingFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/HIVSTITestingFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-HIVScreeningFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-HIVScreeningFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 588
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 777
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 13507
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 13507
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 13602
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 13602
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 13699
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 13699
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19473
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19162
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity \\n SDE Payer \\n SDE Race \\n SDE Sex \\n '"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19472
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19609
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19802
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20054
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20708
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27403
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28065
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28309
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28309
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28768
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29064
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29449
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29829
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30802
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30802
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30802
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30802
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 20848
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/HIVScreeningFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/HIVScreeningFHIR vs https://madie.cms.gov/Measure/HIVScreeningFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/HIVScreeningFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-HIVViralSuppressionFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-HIVViralSuppressionFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 595
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 784
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15616
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15616
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15711
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15711
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15808
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 15808
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23234
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 22923
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex\\n '"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23233
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23370
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23563
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23822
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24476
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24816
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace ' https://www.hrsa.gov/'"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.contact[0].telecom[0].value"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27930
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace ' https://www.hrsa.gov/'"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.author[0].telecom[0].value"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32972
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33634
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33878
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33878
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34384
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34680
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35049
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36022
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36022
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36022
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36022
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24631
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/HIVViralSuppressionFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/HIVViralSuppressionFHIR vs https://madie.cms.gov/Measure/HIVViralSuppressionFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/HIVViralSuppressionFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: b"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1304
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[3].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1543
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[4].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32289
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32289
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32386
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32386
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32481
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32481
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32572
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32572
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32660
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32660
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42455
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/uv/crmi-analysisException could not be found so is not allowed here"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[17].dateFilter[0].value.ofType(Period).extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42353
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi-analysisException'"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[17].dateFilter[0].value.ofType(Period).extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46277
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46470
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46764
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47418
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59050
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59712
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59956
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59956
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60456
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60752
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61133
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61546
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62074
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62531
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62995
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[0].stratifier[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63031
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[1].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63693
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[1].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63937
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[1].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 63937
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[1].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64437
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[1].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 64733
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[1].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65114
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[1].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65857
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[1].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66385
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[1].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66842
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[1].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67306
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[1].stratifier[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67311
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62998
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62075
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[0].stratifier[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62074
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62532
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[0].stratifier[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62531
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62996
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[0].stratifier[2]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 62995
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[0].stratifier[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67309
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66386
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[1].stratifier[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66385
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[1].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66843
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[1].stratifier[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66842
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[1].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67307
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[1].stratifier[2]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67306
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.group[1].stratifier[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67311
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67311
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67311
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47648
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR vs https://madie.cms.gov/Measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/InitiationandEngagementofSubstanceUseDisorderTreatmentFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 626
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 815
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 3168
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "INACTIVE_CONCEPT_FOUND"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "The concept '169331000' has a status of inactive and its use should be reviewed"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[12].value.ofType(Coding)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31105
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31105
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31200
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31200
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31297
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31297
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36197
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[6].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36539
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[7].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36857
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "INACTIVE_CONCEPT_FOUND"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "The concept '169331000' has a status of inactive and its use should be reviewed"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[8].codeFilter[0].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36911
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[8].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37140
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[9].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37139
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[9].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38964
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[15].codeFilter[2].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40600
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40599
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40736
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40929
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41219
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41873
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46962
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47624
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48458
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48754
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49599
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50012
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50379
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.group[0].population[4].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51352
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51352
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51352
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51352
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42114
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR vs https://madie.cms.gov/Measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/IntravesicalBacillusCalmetteGuerinForBladderCancerFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-KidneyHealthEvaluationFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-KidneyHealthEvaluationFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 598
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 787
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1648
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[5].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1887
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[6].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25477
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25477
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25574
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25574
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25669
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25669
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25757
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25757
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25842
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25842
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25944
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/PalliativeCare|1.11.000)"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25944
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/PalliativeCare|1.11.000'"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37517
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37206
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex '"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37516
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37653
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37846
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38108
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38762
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46716
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47378
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47622
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47622
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48069
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48365
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48894
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49265
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50238
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50238
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50238
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50238
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38923
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/KidneyHealthEvaluationFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/KidneyHealthEvaluationFHIR vs https://madie.cms.gov/Measure/KidneyHealthEvaluationFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/KidneyHealthEvaluationFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-OncologyPainIntensityQuantifiedFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-OncologyPainIntensityQuantifiedFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 14223
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 14223
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 14318
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 14318
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16517
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 16850
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[3].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17177
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17515
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[5].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17842
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[6].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18177
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[7].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18333
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18526
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 18797
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19450
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19698
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28584
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29785
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29784
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_Primitive_Regex_Type"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Element value 'This measure is intended to have one reporting rate, which aggregates the following populations into a single performance rate for reporting purposes: \n- Population 1: Visits for patients with a diagnosis of cancer who are currently receiving chemotherapy \n- Population 2: Visits for patients with a diagnosis of cancer who are currently receiving radiation therapy\n\nFor the purposes of this measure, a single performance rate can be calculated as follows:\nPerformance Rate = (Numerator 1 + Numerator 2)/ (Denominator 1 + Denominator 2)' does not meet code regex '[^\\s]+(\\s[^\\s]+)*'"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.group[0].extension[3].value.ofType(code)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29784
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_Code_WS"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "The code 'This measure is intended to have one reporting rate, which aggregates the following populations into a single performance rate for reporting purposes: \n- Population 1: Visits for patients with a diagnosis of cancer who are currently receiving chemotherapy \n- Population 2: Visits for patients with a diagnosis of cancer who are currently receiving radiation therapy\n\nFor the purposes of this measure, a single performance rate can be calculated as follows:\nPerformance Rate = (Numerator 1 + Numerator 2)/ (Denominator 1 + Denominator 2)' is not valid (whitespace rules)"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.group[0].extension[3].value.ofType(code)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30563
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'All patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy '"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.group[0].population[0].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30645
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30943
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31262
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31298
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.group[1].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32499
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.group[1].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32498
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_Primitive_Regex_Type"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Element value 'This measure is intended to have one reporting rate, which aggregates the following populations into a single performance rate for reporting purposes: \n- Population 1: Visits for patients with a diagnosis of cancer who are currently receiving chemotherapy \n- Population 2: Visits for patients with a diagnosis of cancer who are currently receiving radiation therapy\n\nFor the purposes of this measure, a single performance rate can be calculated as follows:\nPerformance Rate = (Numerator 1 + Numerator 2)/ (Denominator 1 + Denominator 2)' does not meet code regex '[^\\s]+(\\s[^\\s]+)*'"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.group[1].extension[3].value.ofType(code)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32498
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_Code_WS"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "The code 'This measure is intended to have one reporting rate, which aggregates the following populations into a single performance rate for reporting purposes: \n- Population 1: Visits for patients with a diagnosis of cancer who are currently receiving chemotherapy \n- Population 2: Visits for patients with a diagnosis of cancer who are currently receiving radiation therapy\n\nFor the purposes of this measure, a single performance rate can be calculated as follows:\nPerformance Rate = (Numerator 1 + Numerator 2)/ (Denominator 1 + Denominator 2)' is not valid (whitespace rules)"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.group[1].extension[3].value.ofType(code)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32743
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.group[1].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32743
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.group[1].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33329
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.group[1].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33627
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.group[1].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33946
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.group[1].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33951
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31265
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.group[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33949
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.group[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33951
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33951
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33951
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19901
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/OncologyPainIntensityQuantifiedFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/OncologyPainIntensityQuantifiedFHIR vs https://madie.cms.gov/Measure/OncologyPainIntensityQuantifiedFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/OncologyPainIntensityQuantifiedFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-PCSBMIScreenAndFollowUpFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-PCSBMIScreenAndFollowUpFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 599
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 788
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2304
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[8].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2543
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[9].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36533
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36533
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36628
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36628
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36725
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36725
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36813
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36813
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36898
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36898
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37000
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/PalliativeCare|1.11.000)"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37000
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/PalliativeCare|1.11.000'"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47749
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[23].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47748
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[23].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48093
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[23].codeFilter[2].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48441
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[24].codeFilter[2].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53507
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53196
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity, and sex; SDE Ethnicity SDE Payer SDE Race SDE Sex '"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53506
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53643
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 53836
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54099
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54752
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70281
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70943
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71187
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71187
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71849
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72145
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72605
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73090
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74020
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.group[0].population[4].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74993
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74993
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74993
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 74993
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 54963
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/PCSBMIScreenAndFollowUpFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/PCSBMIScreenAndFollowUpFHIR vs https://madie.cms.gov/Measure/PCSBMIScreenAndFollowUpFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/PCSBMIScreenAndFollowUpFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-PCSBPScreeningFollowUpFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-PCSBPScreeningFollowUpFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 598
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 787
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1169
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'EKG 12 channel panel' for http://loinc.org#34534-8. Valid display is one of 3 choices: '12 lead EKG panel' (en-US), '12 lead EKG panel' (en-US) or '12 lead EKG Pnl' (en-US) (for the language(s) 'en-US')"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[3].value.ofType(Coding).display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41262
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41262
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41357
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41357
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41454
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41454
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45915
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[1].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47938
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[8].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48249
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'EKG 12 channel panel' for http://loinc.org#34534-8. Valid display is one of 3 choices: '12 lead EKG panel' (en-US), '12 lead EKG panel' (en-US) or '12 lead EKG Pnl' (en-US) (for the language(s) 'en-US')"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[9].codeFilter[0].code[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49203
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[12].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49781
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[13].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50372
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[14].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50601
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[15].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50600
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[15].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56023
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'EKG 12 channel panel' for http://loinc.org#34534-8. Valid display is one of 3 choices: '12 lead EKG panel' (en-US), '12 lead EKG panel' (en-US) or '12 lead EKG Pnl' (en-US) (for the language(s) 'en-US')"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[32].codeFilter[0].code[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60017
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59706
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity SDE Payer SDE Race SDE Sex '"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60016
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60153
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60346
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60608
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61261
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69448
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70112
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70356
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70356
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71028
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71324
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71673
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72119
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72868
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.group[0].population[4].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73841
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73841
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73841
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73841
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 61485
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/PCSBPScreeningFollowUpFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/PCSBPScreeningFollowUpFHIR vs https://madie.cms.gov/Measure/PCSBPScreeningFollowUpFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/PCSBPScreeningFollowUpFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-PCSDepressionScreenAndFollowUpFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-PCSDepressionScreenAndFollowUpFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 606
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 795
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1218
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428171000124102' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[3].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1435
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428181000124104' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[4].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30197
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30197
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30292
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30292
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30389
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30389
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35019
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35379
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[5].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37573
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[13].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37888
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[14].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39593
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39282
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity, and sex; SDE Ethnicity SDE Payer SDE Race SDE Sex '"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39592
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39729
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39922
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40192
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40844
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 55834
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56496
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56740
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 56740
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57551
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 57847
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58254
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 58799
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 59523
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.group[0].population[4].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60496
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60496
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60496
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 60496
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41061
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/PCSDepressionScreenAndFollowUpFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/PCSDepressionScreenAndFollowUpFHIR vs https://madie.cms.gov/Measure/PCSDepressionScreenAndFollowUpFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/PCSDepressionScreenAndFollowUpFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-POAGOpticNerveEvaluationFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-POAGOpticNerveEvaluationFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 600
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 789
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17781
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17781
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17876
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17876
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17973
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 17973
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24988
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24987
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25124
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25317
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25581
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26234
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26482
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.identifier[4].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34040
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34702
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34946
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34946
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35337
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35633
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35989
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 36375
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37348
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37348
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37348
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 37348
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 26679
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/POAGOpticNerveEvaluationFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/POAGOpticNerveEvaluationFHIR vs https://madie.cms.gov/Measure/POAGOpticNerveEvaluationFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/POAGOpticNerveEvaluationFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR",
"resource": {
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"id": "Measure-PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR",
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{
"extension": [
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"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.text.div"
]
},
{
"extension": [
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"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2894
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 3133
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[10].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33990
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33990
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34085
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34085
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34182
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34182
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34286
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CumulativeMedicationDuration|4.1.000)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34286
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
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{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34374
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34374
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50785
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50978
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51278
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51932
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 65488
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66150
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66394
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66394
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 66829
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67142
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67522
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67819
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'Population 1: Patients who were screened for tobacco use at least once during the measurement period. '"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[0].population[3].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67892
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67928
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[1].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68590
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[1].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68834
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[1].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 68834
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[1].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69269
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[1].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69680
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[1].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70060
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[1].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70478
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[1].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70514
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[2].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71176
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[2].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71420
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[2].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71420
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[2].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 71855
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[2].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72169
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[2].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 72549
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[2].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73080
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[2].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73085
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 67895
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70481
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73083
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.group[2]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73085
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73085
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 73085
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52187
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR vs https://madie.cms.gov/Measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/PreventiveCareAndTobaccoUseScreeningAndCessationInterventionFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-PrimaryCariesPreventionasOfferedbyDentistsFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-PrimaryCariesPreventionasOfferedbyDentistsFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: b"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 655
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 894
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19372
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19372
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19469
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19469
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19564
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19564
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19652
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 19652
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24468
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24661
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24943
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25596
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31793
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32455
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32699
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32699
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33148
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33444
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33825
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34192
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34606
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'Population 1: Patients age 1-5 years at the start of the Measurement Period '"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.group[0].stratifier[0].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34684
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35083
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'Population 2: Patients age 6-12 years at the start of the Measurement Period '"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.group[0].stratifier[1].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35161
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35638
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.group[0].stratifier[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35643
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34685
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.group[0].stratifier[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34684
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35162
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.group[0].stratifier[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35161
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35639
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.group[0].stratifier[2]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35638
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.group[0].stratifier[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35643
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35643
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35643
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 25813
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR vs https://madie.cms.gov/Measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/PrimaryCariesPreventionasOfferedbyDentistsFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-ProstateCaAvoidanceBoneScanOveruseFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-ProstateCaAvoidanceBoneScanOveruseFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 610
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 799
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2365
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "INACTIVE_CONCEPT_FOUND"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "The concept '369833007' has a status of inactive and its use should be reviewed"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[8].value.ofType(Coding)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2641
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "INACTIVE_CONCEPT_FOUND"
}
],
"severity": "warning",
"code": "business-rule",
"details": {
"text": "The concept '369834001' has a status of inactive and its use should be reviewed"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[9].value.ofType(Coding)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 2919
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '433351000124101' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[10].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 3201
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '433361000124104' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[11].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 3621
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '433611000124109' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[13].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23002
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23002
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23099
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23099
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23194
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 23194
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 27969
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[7].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28398
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[8].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28397
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[8].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28720
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[8].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29149
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement could not be found so is not allowed here"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[9].extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29148
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-relatedRequirement'"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[9].extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 29471
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[9].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30015
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[10].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30807
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30496
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity SDE Payer SDE Race SDE Sex '"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30806
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 30943
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31136
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 31410
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32064
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38253
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 38915
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39159
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39159
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 39874
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40329
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 40721
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41147
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42120
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42120
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42120
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42120
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/ProstateCaAvoidanceBoneScanOveruseFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32308
},
{
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
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]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/ProstateCaAvoidanceBoneScanOveruseFHIR vs https://madie.cms.gov/Measure/ProstateCaAvoidanceBoneScanOveruseFHIR"
},
"expression": [
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]
}
]
}
},
{
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{
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{
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{
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{
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"valueCode": "Resource_RES_ID_Malformed_Length"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Invalid Resource id: Too long (68 chars)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.id"
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},
{
"extension": [
{
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{
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},
{
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.text.div"
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},
{
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},
{
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{
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"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr"
},
"expression": [
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{
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{
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
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{
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{
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"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.text.div"
]
},
{
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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},
{
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"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[8].value.ofType(Coding).code"
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{
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[9].value.ofType(Coding).code"
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},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 3053
},
{
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
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{
"extension": [
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"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 3292
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[12].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43277
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43277
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43372
},
{
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"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43372
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
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{
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{
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},
{
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{
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],
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"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
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{
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{
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{
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{
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"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
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{
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
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"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
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},
{
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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{
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"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
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{
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"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
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],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
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},
{
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{
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{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
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{
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{
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{
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"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
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],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/PalliativeCare|1.11.000)"
},
"expression": [
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{
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],
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"details": {
"text": "A definition could not be found for Canonical URL 'Library/PalliativeCare|1.11.000'"
},
"expression": [
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],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
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{
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"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex; SDE Ethnicity \\n SDE Payer \\n SDE Race \\n SDE Sex \\n '"
},
"expression": [
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"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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],
"severity": "error",
"code": "invalid",
"details": {
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},
"expression": [
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{
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"valueCode": "Reference_REF_CantResolve"
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],
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"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69305
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 69609
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70263
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 85739
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 87745
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 87744
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_Primitive_Regex_Type"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Element value 'This measure is intended to have one reporting rate, which aggregates the following populations into a single performance rate for reporting purposes: Population 1: All patients who were previously diagnosed with or currently have a diagnosis of clinical ASCVD, including an ASCVD procedure. Population 2: Patients aged 20 to 75 years at the beginning of the measurement period who have ever had a laboratory result of LDL-C >= 190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial hypercholesterolemia. Population 3: Patients aged 40 to 75 years at the beginning of the measurement period with an active diagnosis of Type 1 or Type 2 diabetes at any time during the measurement period. Population 4: Patients aged 40 to 75 at the beginning of the measurement period with a 10-year ASCVD risk score of > = 20 percent during the measurement period. For the purposes of this measure, a single performance rate can be calculated as follows: Performance Rate = (Numerator 1 + Numerator 2 + Numerator 3 + Numerator 4)/ [(Denominator 1 - Denominator Exclusions 1- Denominator Exceptions 1) + (Denominator 2 - Denominator Exclusions 2 - Denominator Exceptions 2) + (Denominator 3 - Denominator Exclusions 3 - Denominator Exceptions 3) + (Denominator 4 - Denominator Exclusions 4 - Denominator Exceptions 4)]' does not meet code regex '[^\\s]+(\\s[^\\s]+)*'"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[0].extension[3].value.ofType(code)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 87744
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_Code_WS"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "The code 'This measure is intended to have one reporting rate, which aggregates the following populations into a single performance rate for reporting purposes: Population 1: All patients who were previously diagnosed with or currently have a diagnosis of clinical ASCVD, including an ASCVD procedure. Population 2: Patients aged 20 to 75 years at the beginning of the measurement period who have ever had a laboratory result of LDL-C >= 190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial hypercholesterolemia. Population 3: Patients aged 40 to 75 years at the beginning of the measurement period with an active diagnosis of Type 1 or Type 2 diabetes at any time during the measurement period. Population 4: Patients aged 40 to 75 at the beginning of the measurement period with a 10-year ASCVD risk score of > = 20 percent during the measurement period. For the purposes of this measure, a single performance rate can be calculated as follows: Performance Rate = (Numerator 1 + Numerator 2 + Numerator 3 + Numerator 4)/ [(Denominator 1 - Denominator Exclusions 1- Denominator Exceptions 1) + (Denominator 2 - Denominator Exclusions 2 - Denominator Exceptions 2) + (Denominator 3 - Denominator Exclusions 3 - Denominator Exceptions 3) + (Denominator 4 - Denominator Exclusions 4 - Denominator Exceptions 4)]' is not valid (whitespace rules)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[0].extension[3].value.ofType(code)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 87989
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 87989
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 88353
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: \\n- All patients who were previously diagnosed with or currently have a diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD), including an ASCVD procedure; \\n'"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[0].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 88786
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 89084
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 89551
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 89947
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90598
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[0].population[4].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90634
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[1].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 92362
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[1].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 92361
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_Primitive_Regex_Type"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Element value 'This measure is intended to have one reporting rate, which aggregates the following populations into a single performance rate for reporting purposes: \n\nPopulation 1: All patients who have an active diagnosis of clinical ASCVD or ever had an ASCVD procedure.\n\nPopulation 2: Patients aged >= 20 years at the beginning of the measurement period who have ever had a laboratory result of LDL-C >= 190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial hypercholesterolemia.\n\nPopulation 3: Patients aged 40 to 75 years at the beginning of the measurement period with an active diagnosis of Type 1 or Type 2 diabetes at any time during the measurement period. \n\nFor the purposes of this measure, a single performance rate can be calculated as follows:\n\nPerformance Rate = (Numerator 1 + Numerator 2 +Numerator 3)/ [(Denominator 1 - Denominator Exclusions 1- Denominator Exceptions 1) + (Denominator 2 - Denominator Exclusions 2 - Denominator Exceptions 2) +(Denominator 3 - Denominator Exclusions 3 - Denominator Exceptions 3)]' does not meet code regex '[^\\s]+(\\s[^\\s]+)*'"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[1].extension[3].value.ofType(code)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 92361
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_Code_WS"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "The code 'This measure is intended to have one reporting rate, which aggregates the following populations into a single performance rate for reporting purposes: \n\nPopulation 1: All patients who have an active diagnosis of clinical ASCVD or ever had an ASCVD procedure.\n\nPopulation 2: Patients aged >= 20 years at the beginning of the measurement period who have ever had a laboratory result of LDL-C >= 190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial hypercholesterolemia.\n\nPopulation 3: Patients aged 40 to 75 years at the beginning of the measurement period with an active diagnosis of Type 1 or Type 2 diabetes at any time during the measurement period. \n\nFor the purposes of this measure, a single performance rate can be calculated as follows:\n\nPerformance Rate = (Numerator 1 + Numerator 2 +Numerator 3)/ [(Denominator 1 - Denominator Exclusions 1- Denominator Exceptions 1) + (Denominator 2 - Denominator Exclusions 2 - Denominator Exceptions 2) +(Denominator 3 - Denominator Exclusions 3 - Denominator Exceptions 3)]' is not valid (whitespace rules)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[1].extension[3].value.ofType(code)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 92606
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[1].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 92606
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[1].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 92925
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'Patients aged 20 to 75 years at the beginning of the measurement period who have ever had a laboratory result of LDL-C >=190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial hypercholesterolemia and were taking a statin medication during the measure period. '"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[1].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 93468
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[1].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 93766
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[1].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94233
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[1].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94629
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[1].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 95280
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[1].population[4].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 95316
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[2].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 97044
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[2].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 97043
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_Primitive_Regex_Type"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Element value 'This measure is intended to have one reporting rate, which aggregates the following populations into a single performance rate for reporting purposes: \n\nPopulation 1: All patients who have an active diagnosis of clinical ASCVD or ever had an ASCVD procedure.\n\nPopulation 2: Patients aged >= 20 years at the beginning of the measurement period who have ever had a laboratory result of LDL-C >= 190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial hypercholesterolemia.\n\nPopulation 3: Patients aged 40 to 75 years at the beginning of the measurement period with an active diagnosis of Type 1 or Type 2 diabetes at any time during the measurement period. \n\nFor the purposes of this measure, a single performance rate can be calculated as follows:\n\nPerformance Rate = (Numerator 1 + Numerator 2 +Numerator 3)/ [(Denominator 1 - Denominator Exclusions 1- Denominator Exceptions 1) + (Denominator 2 - Denominator Exclusions 2 - Denominator Exceptions 2) +(Denominator 3 - Denominator Exclusions 3 - Denominator Exceptions 3)]' does not meet code regex '[^\\s]+(\\s[^\\s]+)*'"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[2].extension[3].value.ofType(code)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 97043
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_Code_WS"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "The code 'This measure is intended to have one reporting rate, which aggregates the following populations into a single performance rate for reporting purposes: \n\nPopulation 1: All patients who have an active diagnosis of clinical ASCVD or ever had an ASCVD procedure.\n\nPopulation 2: Patients aged >= 20 years at the beginning of the measurement period who have ever had a laboratory result of LDL-C >= 190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial hypercholesterolemia.\n\nPopulation 3: Patients aged 40 to 75 years at the beginning of the measurement period with an active diagnosis of Type 1 or Type 2 diabetes at any time during the measurement period. \n\nFor the purposes of this measure, a single performance rate can be calculated as follows:\n\nPerformance Rate = (Numerator 1 + Numerator 2 +Numerator 3)/ [(Denominator 1 - Denominator Exclusions 1- Denominator Exceptions 1) + (Denominator 2 - Denominator Exclusions 2 - Denominator Exceptions 2) +(Denominator 3 - Denominator Exclusions 3 - Denominator Exceptions 3)]' is not valid (whitespace rules)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[2].extension[3].value.ofType(code)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 97288
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[2].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 97288
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[2].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 97478
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace ' Patients aged 40 to 75 years at the beginning of the measurement period with Type 1 or Type 2 diabetes and were taking a statin medication during the measure period. '"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[2].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 97888
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[2].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 98186
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[2].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 98653
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[2].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 99049
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[2].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 99700
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[2].population[4].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 99736
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[3].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 100565
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace ' Patients aged 40 to 75 at the beginning of the measurement period with a 10-year ASCVD risk score (i.e., 2013 ACC/AHA ASCVD Risk Estimator or the ACC Risk Estimator Plus) of >= 20 percent and were taking a statin medication during the measure period. '"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[3].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 101104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[3].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 101402
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[3].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 101869
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[3].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 102265
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[3].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 102916
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[3].population[4].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 103889
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 90601
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 95283
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 99703
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[2]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 102919
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.group[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 103889
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 103889
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 103889
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 70515
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR vs https://madie.cms.gov/Measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 632
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'M' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 821
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code 'F' in the CodeSystem 'http://hl7.org/fhir/administrative-gender' version '4.0.1'"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28068
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/SupplementalDataElements|3.5.000)"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28068
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/SupplementalDataElements|3.5.000'"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28163
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28163
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28260
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 28260
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 32681
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[7].codeFilter[2].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33003
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "code-invalid",
"details": {
"text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[8].codeFilter[1].code[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34105
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Unknown_NotHere"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance could not be found so is not allowed here"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.extension[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33794
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'For every patient evaluated by this measure also identify payer, race, ethnicity and sex '"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.extension[0].extension[0].value.ofType(string)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34104
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance'"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.extension[0].url"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34241
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34434
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.extension[2].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34730
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35384
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 41729
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42391
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43285
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43581
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44186
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44571
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45544
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45544
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45544
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45544
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 35643
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR vs https://madie.cms.gov/Measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/UrinarySymptomScoreChangeAfterBenignProstaticHyperplasiaFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-UseofHighRiskMedicationsintheElderlyFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-UseofHighRiskMedicationsintheElderlyFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 5151
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[20].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 5390
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[21].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44053
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44053
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44157
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CumulativeMedicationDuration|4.1.000)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44157
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CumulativeMedicationDuration|4.1.000'"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44252
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44252
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44349
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44349
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44440
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/CQMCommon|2.2.000)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44440
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/CQMCommon|2.2.000'"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[4].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44528
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44528
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[5].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44630
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/PalliativeCare|1.11.000)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44630
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/PalliativeCare|1.11.000'"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[6].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 82766
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 82959
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 83235
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 83889
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94292
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 94954
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 95198
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 95198
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 95615
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 95911
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 96379
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 97069
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 97105
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[1].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 97767
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[1].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 98011
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[1].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 98011
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[1].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 98428
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[1].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 98724
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[1].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 99192
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[1].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 100231
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_String_WS"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "value should not start or finish with whitespace 'Rate 2: Patients with at least two orders of high-risk medications from the same drug class (i.e., antipsychotics and benzodiazepines) on different days except for appropriate diagnoses.\\na. Patients with two or more antipsychotic prescriptions ordered on different days, and who did not have a diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder on or between January 1 of the year prior to the measurement period and the IPSD for antipsychotics. \\nb. Patients with two or more benzodiazepine prescriptions ordered on different days, and who did not have a diagnosis of seizure disorders, rapid eye movement sleep behavior disorder, benzodiazepine withdrawal, ethanol withdrawal, or severe generalized anxiety disorder on or between January 1 of the year prior to the measurement period and the IPSD for benzodiazepines.\\n'"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[1].population[3].description"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 100304
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[1].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 100340
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[2].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 101002
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[2].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 101246
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[2].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 101246
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[2].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 101663
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[2].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 101959
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[2].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 102427
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[2].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 102760
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[2].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 102765
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 97072
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 100307
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 102763
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.group[2]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 102765
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 102765
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 102765
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 84084
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/UseofHighRiskMedicationsintheElderlyFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/UseofHighRiskMedicationsintheElderlyFHIR vs https://madie.cms.gov/Measure/UseofHighRiskMedicationsintheElderlyFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/UseofHighRiskMedicationsintheElderlyFHIR"
]
}
]
}
},
{
"fullUrl": "http://ecqi.healthit.gov/ecqms/OperationOutcome/Measure-WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 123
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Resource_RES_ID_Malformed_Length"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Invalid Resource id: Too long (89 chars)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: b"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type li must be in a ul|ol, not a td at div/table/tr/td/li"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr at div/table/tr/td/table/tr cannot have the following children: tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr,tr"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a td at div/table/tr/td/table/tr/td/tr"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "XHTML_XHTML_OUT_OF_PLACE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Elements of type tr must be in a table|thead|tfoot|tbody, not a tr at div/table/tr/td/table/tr/tr"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.text.div"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 698
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428361000124107' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 937
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Unknown_Code_in_Version"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "Unknown code '428371000124100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).code"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24121
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Status|1.8.000)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24121
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Status|1.8.000'"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24218
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/QICoreCommon|2.1.000)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24218
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/QICoreCommon|2.1.000'"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24313
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/FHIRHelpers|4.4.000)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24313
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/FHIRHelpers|4.4.000'"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24401
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_CANONICAL_ABSOLUTE"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Canonical URLs must be absolute URLs if they are not fragment references (Library/Hospice|6.12.000)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 24401
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "A definition could not be found for Canonical URL 'Library/Hospice|6.12.000'"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[3].resource"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33021
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantResolve"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to resolve resource with reference 'Device/cqf-tooling'"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.extension[0].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33214
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Reference_REF_CantMatchChoice"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Unable to find a profile match for #effective-data-requirements among choices: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/module-definition-library-cqfm"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.extension[1].value.ofType(Reference)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 33539
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.identifier[0].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34193
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Type_Specific_Checks_DT_URL_Resolve"
}
],
"severity": "warning",
"code": "invalid",
"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.identifier[3].system"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42030
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[0].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42692
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[0].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42936
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 42936
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[0].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43449
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[0].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 43745
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[0].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44204
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[0].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 44581
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[0].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45055
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45515
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45551
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[1].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46213
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[1].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46457
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[1].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46457
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[1].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 46970
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[1].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47266
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[1].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 47725
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[1].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48064
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[1].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48607
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[1].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49079
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[1].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49115
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (value.startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[2].id"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49777
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Extension_EXT_Type"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation' definition allows for the types [string] but found type code"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[2].extension[3]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50021
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Display_Name_for__should_be_one_of__instead_of"
}
],
"severity": "error",
"code": "invalid",
"details": {
"text": "Wrong Display Name 'increase' for http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease. Valid display is 'Decreased score indicates improvement' (for the language(s) 'en-US')"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[2].extension[4].value.ofType(CodeableConcept).coding[0].display"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50021
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "TerminologyEngine"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Terminology_TX_NoValid_1_CC"
}
],
"severity": "error",
"code": "code-invalid",
"details": {
"text": "None of the codings provided are in the value set 'MeasureImprovementNotation' (http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.0), and a coding from this value set is required) (codes = http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[2].extension[4].value.ofType(CodeableConcept)"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50534
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[2].population[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 50830
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[2].population[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51289
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[2].population[2].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 51636
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[2].population[3].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52179
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[2].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52651
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-5"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-5: 'Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (value.startsWith(library).not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[2].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52656
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-2"
}
],
"severity": "error",
"code": "invariant",
"details": {
"text": "Constraint failed: cmp-2: 'Scoring must be specified at the root, or on each group (scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue())'"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45518
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45056
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[0].stratifier[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45055
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[0].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45516
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[0].stratifier[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 45515
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[0].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49082
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48608
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[1].stratifier[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 48607
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[1].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49080
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[1].stratifier[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 49079
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[1].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52654
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "Groups should have codes when there is more than one group"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[2]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52180
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[2].stratifier[0]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52179
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[2].stratifier[0].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52652
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "A measure group stratifier should have a code when there is more than one population"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[2].stratifier[1]"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52651
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
}
],
"severity": "warning",
"code": "required",
"details": {
"text": "The expression language text/cql-identifier is not supported, so can't be validated"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.group[2].stratifier[1].criteria"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52656
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum_SLICE"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Slice 'Measure.useContext:qualityProgram': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0). Note that other slices are allowed in addition to this required slice"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52656
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.approvalDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 52656
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "Validation_VAL_Profile_Minimum"
}
],
"severity": "error",
"code": "structure",
"details": {
"text": "Measure.lastReviewDate: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0)"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 34486
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "_DT_Fixed_Wrong"
}
],
"severity": "error",
"code": "value",
"details": {
"text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|3.0.0#Measure.status"
},
"expression": [
"Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR: Measure.status"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "Publisher"
}
],
"severity": "error",
"code": "business-rule",
"details": {
"text": "URL Mismatch http://ecqi.healthit.gov/ecqms/Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR vs https://madie.cms.gov/Measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR"
},
"expression": [
"/scratch/repo/input/resources/measure/WeightAssessmentandCounselingforNutritionandPhysicalActivityforChildrenandAdolescentsFHIR"
]
}
]
}
}
]
}