FHIR IG analytics| Package | madie.cms.gov.dqms |
| Resource Type | Bundle |
| Id | validation-oo.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
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"timestamp": "2026-03-16T04:37:27.467+00:00",
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"details": {
"text": "No definition could be found for URL value 'https://madie.cms.gov/login'"
},
"expression": [
"Library/SupplementalDataElements: Library.identifier[0].system"
]
}
]
}
},
{
"fullUrl": "https://madie.cms.gov/OperationOutcome/Measure-BreastCancerScreeningFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-BreastCancerScreeningFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 618
},
{
"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": 841
},
{
"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": 2856
},
{
"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": 54122
},
{
"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/StructureDefinition/crmi-effectiveDataRequirements could not be found so is not allowed here"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: 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": 54073
},
{
"url": "http://hl7.org/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/StructureDefinition/crmi-effectiveDataRequirements'"
},
"expression": [
"Measure/BreastCancerScreeningFHIR: 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": 54382
},
{
"url": "http://hl7.org/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": 55036
},
{
"url": "http://hl7.org/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": 62629
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-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": 63291
},
{
"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": 63535
},
{
"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": 63535
},
{
"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": 63946
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 64242
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 65441
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 65852
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 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/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": 65857
},
{
"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": 65857
},
{
"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": 65857
},
{
"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": 55195
},
{
"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"
]
}
]
}
},
{
"fullUrl": "https://madie.cms.gov/OperationOutcome/Measure-ColonCancerScreeningFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-ColonCancerScreeningFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 820
},
{
"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": 1043
},
{
"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": 2704
},
{
"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": 55645
},
{
"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/StructureDefinition/crmi-effectiveDataRequirements could not be found so is not allowed here"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: 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": 55596
},
{
"url": "http://hl7.org/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/StructureDefinition/crmi-effectiveDataRequirements'"
},
"expression": [
"Measure/ColonCancerScreeningFHIR: 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": 55904
},
{
"url": "http://hl7.org/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": 56558
},
{
"url": "http://hl7.org/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": 63595
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-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": 64257
},
{
"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": 64501
},
{
"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": 64501
},
{
"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": 64915
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 65211
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 66293
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 67163
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 67633
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-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": 68088
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-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": 68093
},
{
"url": "http://hl7.org/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": 67634
},
{
"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": 67633
},
{
"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": 68089
},
{
"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": 68088
},
{
"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": 68093
},
{
"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": 68093
},
{
"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": 68093
},
{
"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": 56720
},
{
"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"
]
}
]
}
},
{
"fullUrl": "https://madie.cms.gov/OperationOutcome/Measure-ControllingHighBloodPressureFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-ControllingHighBloodPressureFHIR",
"issue": [
{
"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/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": 761
},
{
"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": 1899
},
{
"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": 2122
},
{
"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": 3194
},
{
"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": 62913
},
{
"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/StructureDefinition/crmi-effectiveDataRequirements 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": 62864
},
{
"url": "http://hl7.org/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/StructureDefinition/crmi-effectiveDataRequirements'"
},
"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": 63180
},
{
"url": "http://hl7.org/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": 63834
},
{
"url": "http://hl7.org/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": 76411
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-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": 77073
},
{
"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": 77317
},
{
"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": 77317
},
{
"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": 77877
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 78173
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 79520
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 79957
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 80323
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-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": 80323
},
{
"url": "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": 80674
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-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": 80674
},
{
"url": "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": 81647
},
{
"url": "http://hl7.org/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": 80324
},
{
"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": 80323
},
{
"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": 80675
},
{
"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": 80674
},
{
"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": 81647
},
{
"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": 81647
},
{
"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": 81647
},
{
"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": 64008
},
{
"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"
]
}
]
}
},
{
"fullUrl": "https://madie.cms.gov/OperationOutcome/Measure-DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 1616
},
{
"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": 1839
},
{
"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": 2741
},
{
"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": 51912
},
{
"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/StructureDefinition/crmi-effectiveDataRequirements could not be found so is not allowed here"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: 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": 51863
},
{
"url": "http://hl7.org/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/StructureDefinition/crmi-effectiveDataRequirements'"
},
"expression": [
"Measure/DiabetesGlycemicStatusAssessmentGreaterThan9PercentFHIR: 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": 52202
},
{
"url": "http://hl7.org/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": 52856
},
{
"url": "http://hl7.org/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": 60553
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-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": 61215
},
{
"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": 61459
},
{
"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": 61459
},
{
"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": 61888
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 62184
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 63176
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 63626
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 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/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": 63631
},
{
"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": 63631
},
{
"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": 63631
},
{
"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": 53074
},
{
"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"
]
}
]
}
},
{
"fullUrl": "https://madie.cms.gov/OperationOutcome/Measure-PCSDepressionScreenAndFollowUpFHIR",
"resource": {
"resourceType": "OperationOutcome",
"id": "Measure-PCSDepressionScreenAndFollowUpFHIR",
"issue": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
"valueInteger": 590
},
{
"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": 763
},
{
"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": 1154
},
{
"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": 1355
},
{
"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": 34402
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "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": 34762
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "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": 36956
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "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": 37271
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
}
],
"severity": "warning",
"code": "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": 38581
},
{
"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/StructureDefinition/crmi-effectiveDataRequirements 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": 38532
},
{
"url": "http://hl7.org/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/StructureDefinition/crmi-effectiveDataRequirements'"
},
"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": 38850
},
{
"url": "http://hl7.org/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": 39502
},
{
"url": "http://hl7.org/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": 54502
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-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": 55164
},
{
"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": 55408
},
{
"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": 55408
},
{
"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": 56219
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 56515
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 56922
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 57467
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 58191
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
"valueString": "InstanceValidator"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
"valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
}
],
"severity": "warning",
"code": "invariant",
"details": {
"text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. 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": 59164
},
{
"url": "http://hl7.org/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": 59164
},
{
"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": 59164
},
{
"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": 59164
},
{
"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": 39719
},
{
"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"
]
}
]
}
}
]
}