Validation Results for gemIG_ePA_MHD

Generated Mon Mar 23 14:18:17 GMT 2026, FHIR version 4.0.1 for de.gematik.epa.mhd#1.1.1 (canonical = https://gematik.de/fhir/epa-mhd (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.2.1
Publication Code:	n/a . PackageId = de.gematik.epa.mhd, Canonical = https://gematik.de/fhir/epa-mhd
Realm Check for n/a:	n/a
Language Info:	This IG has no language information
Publication Request:	package-id de.gematik.epa.mhd version 1.1.1 path https://gematik.de/fhir/epa-mhd/1.1.1 Pub-Mode milestone status release Release-Label release Sequence (Group) ePA 3.1.3 (current: 'ePA 3.1.3', others = 'ePA Vorabveröffentlichung 3.1.3') desc Implementation Guide ePA MHD Service Version 1.1.1 RelatedIgs (None Found) No Messages found - all good
Supressed Messages:	55 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment de.gematik.epa.mhd 1.1.1 R4 https://gematik.de/fhir/epa-mhd hl7.terminology.r4 7.1.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) de.basisprofil.r4 1.5.4 U R4 ihe.iti.mhd 4.2.3 M R4 https://profiles.ihe.net/ITI/MHD https://profiles.ihe.net/ITI/MHD/4.2.3 hl7.terminology.r4 6.5.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.5.0 Latest Release is 7.1.0 hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) ihe.iti.balp 1.1.4 M R4 https://profiles.ihe.net/ITI/BALP https://profiles.ihe.net/ITI/BALP/1.1.4 hl7.terminology.r4 6.5.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.5.0 (as above). Latest Release is 7.1.0 hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) ihe.formatcode.fhir 1.4.0 O R4 https://profiles.ihe.net/fhir/ihe.formatcode.fhir https://profiles.ihe.net/fhir/ihe.formatcode.fhir/1.4.0 Matched to latest patch release (1.4.x->1.4.0). Latest Release is 1.5.0 hl7.terminology.r4 6.3.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.3.0 Latest Release is 7.1.0 hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) de.gematik.terminology 1.0.9 V R4 https://gematik.de/fhir/terminology https://gematik.de/fhir/terminology/1.0.9 hl7.terminology.r4 7.1.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 (as above) hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) dvmd.kdl.r4 2025.0.1 U R4 de.gematik.ti 1.3.0 V R4 https://gematik.de/fhir/ti https://gematik.de/fhir/ti/1.3.0 hl7.terminology.r4 7.1.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 (as above) hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) de.basisprofil.r4 1.5.4 U R4 (as above) de.gematik.terminology 1.0.9 V R4 https://gematik.de/fhir/terminology https://gematik.de/fhir/terminology/1.0.9 (as above) de.gematik.epa 1.3.1 V R4 https://gematik.de/fhir/epa https://gematik.de/fhir/epa/1.3.1 hl7.terminology.r4 7.1.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 (as above) hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) de.basisprofil.r4 1.5.4 U R4 (as above) de.gematik.terminology 1.0.9 V R4 https://gematik.de/fhir/terminology https://gematik.de/fhir/terminology/1.0.9 (as above) de.gematik.ti 1.3.0 V R4 https://gematik.de/fhir/ti https://gematik.de/fhir/ti/1.3.0 (as above) hl7.fhir.uv.tools.r4 1.1.0 O R4 http://hl7.org/fhir/tools http://hl7.org/fhir/tools/1.1.0 Internal Dependency. Latest Release is 1.1.1 Templates: gematik.ig.template#0.0.2 -> fhir.base.template#0.8.1
Related IGs:	n/a
Dependent IGs:	no references
Global Profiles:	(none declared)
Terminology Server(s):	https://tx.fhir.org/r4 (details)
HTA Analysis:	Non-HL7 Igs are exempt from terminology dependency analysis
R5 Dependencies:	(none)
Draft Dependencies:	hl7.fhir.r4.core#4.0.1: GuideParameterCode (18 uses), _id (2 uses), _content (2 uses), _lastUpdated (2 uses), category (2 uses), contenttype (4 uses), description (2 uses), event (2 uses), facility (2 uses), format (2 uses), identifier (2 uses), patient (2 uses), period (2 uses), related (2 uses), security-label (2 uses), setting (2 uses), status (2 uses), type (2 uses), CommonLanguages (3 uses), CommonTags (1 uses), CompositionStatus (1 uses), Practitioner (4 uses), Organization (5 uses), DocumentRelationshipType (1 uses), DocumentReference (1 uses), Encounter (1 uses), EpisodeOfCare (1 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Comparison with version 1.0.1 Comparison with version 1.1.0
IPA Comparison:	n/a
IPS Comparison:	n/a
Validation Flags:	On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Narratives Suppressed	ImplementationGuide/de.gematik.epa.mhd, Bundle/example-fulltext-search-match, CapabilityStatement/epa-mhd-document-consumer, CapabilityStatement/epa-mhd-document-responder, DocumentReference/b2d5f8db-48ca-43c4-a540-6c8f2e853913, SearchParameter/epa-mhd-documentreference-title, StructureDefinition/epa-document-search-result-bundle, StructureDefinition/epa-mhd-document-reference, StructureDefinition/ihe-full-text-search-match-snippet, StructureDefinition/ihe-full-text-search-match-total-hits
Validation Suppressed	Bundle/example-fulltext-search-match
CodeSystem Fragments	Bundle/example-fulltext-search-match
Summary:	errors = 2, warn = 0, info = 0, broken links = 0, pinned = n/a. Show Message Ids

n/a Show Validation Information

fsh-generated/resources/DocumentReference-b2d5f8db-48ca-43c4-a540-6c8f2e853913.json Show Validation Information (0)

Suppressed Messages (Warnings, hints, broken links)

Code 'deprecationDate' exists in the CodeSystem but is marked as not existing

• An HTML fragment from the set [cross-version-analysis.xhtml, cross-version-analysis-inline.xhtml] is not included anywhere in the produced implementation guide (0 uses)
• The HTML fragment 'globals-table.xhtml' is not included anywhere in the produced implementation guide (0 uses)
• The HTML fragment 'ip-statements.xhtml' is not included anywhere in the produced implementation guide (0 uses)
• The uri 'http://hl7.org/fhir/concept-properties#deprecationDate' for the property 'deprecationDate' implies the code 'deprecationDate' exists in the CodeSystem FHIR Defined Concept Properties for http://hl7.org/fhir/concept-properties but it does not exist (0 uses)

CodeSystem may be in draft but is the correct active one to usedReference to draft CodeSystem http://hl7.org/fhir/document-reference-status|4.0.1

• Reference to draft CodeSystem http://hl7.org/fhir/document-reference-status|4.0.1 (1 uses)

Deprecated / retired information

• %http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.2.0% (1 uses)
• %http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw% (2 uses)

IHE does not provide non-draft CodeSystem

• %urn:oid:1.3.6.1.4.1.19376.3.276.1.5.16% (2 uses)
• %urn:oid:1.3.6.1.4.1.19376.3.276.1.5.2% (2 uses)
• %urn:oid:1.3.6.1.4.1.19376.3.276.1.5.4% (2 uses)
• %urn:oid:1.3.6.1.4.1.19376.3.276.1.5.6% (1 uses)
• %urn:oid:1.3.6.1.4.1.19376.3.276.1.5.6% (0 uses)
• Reference to draft CodeSystem http://www.ihe-d.de/fhir/CodeSystem/Dokumentenklassen|4.0.0-alpha1 (0 uses)
• Reference to draft CodeSystem http://www.ihe-d.de/fhir/CodeSystem/Dokumententypen|4.0.0-alpha1 (0 uses)
• Reference to draft CodeSystem urn:oid:1.3.6.1.4.1.19376.3.276.1.5.15|4.0.0-alpha1 (0 uses)
• Reference to draft CodeSystem urn:oid:1.3.6.1.4.1.19376.3.276.1.5.16|4.0.0-alpha1 (0 uses)
• Reference to draft CodeSystem urn:oid:1.3.6.1.4.1.19376.3.276.1.5.2|4.0.0-alpha1 (0 uses)
• Reference to draft CodeSystem urn:oid:1.3.6.1.4.1.19376.3.276.1.5.4|4.0.0-alpha1 (0 uses)
• Reference to draft CodeSystem urn:oid:1.3.6.1.4.1.19376.3.276.1.5.6|4.0.0-alpha1 (0 uses)

Ignoring Warnings:

• %Display Names for the language de-DE% (0 uses)
• %http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0% (0 uses)
• %package ihe.iti.mhd#4.2.3 released on 2025-10-31, but the most recent appropriate version is 5.0.0% (1 uses)

Ignoring Warnings: We are using a custom template of our own

• %HTML fragment% (3 uses)
• %Illegal HTML: Illegal HTML element: requirement% (5 uses)
• %eingebettete HTML-Tags% (0 uses)
• %ig-0% (1 uses)
• %publish box% (1 uses)

Incomplete definition of system prevents check

• Resolved system urn:ietf:bcp:47, but the definition is not complete, so assuming value set include is correct (0 uses)

Not resolvable

• %/epa/mhd/api/% (0 uses)
• %Code System unknown, so assuming value set expansion is correct% (0 uses)
• %XDS% (1 uses)
• %could not be found, so the code cannot be validated% (6 uses)
• %http://epa4all/epa/mhd/% (0 uses)
• %http://fhir.org/packages/de.basisprofil.r4/ImplementationGuide/de.basisprofil.r4% (2 uses)
• %https://gematik.de/fhir/sid/telematik-id% (1 uses)
• %https://profiles.ihe.net/ITI/MHD/SearchParameter/DocumentReference-date% (2 uses)
• %urn:gematik:iti:xds:2023:rootDocumentUniqueId% (1 uses)
• %urn:oid:1.2.276.0.76.5.511% (2 uses)
• %urn:oid:1.3.6.1.4.1.19376.3.276.1.5.16% (0 uses)
• %urn:oid:1.3.6.1.4.1.19376.3.276.1.5.2% (0 uses)
• %urn:oid:1.3.6.1.4.1.19376.3.276.1.5.4% (0 uses)
• %urn:oid:1.3.6.1.4.1.19376.3.276.1.5.6% (0 uses)
• %urn:oid:2.16.840.1.113883.5.25% (2 uses)

OIDs and Canonical URLs are not matched during validation dispite NamingSystems defining their equivalence

• %error message = Der angegebene Code 'http://terminology.hl7.org/CodeSystem/v3-Confidentiality% (0 uses)
• %error message = Der angegebene Code 'https://gematik.de/fhir/terminology/CodeSystem/epa-data-category-medical-cs% (0 uses)

The HTML tag is intended and does not expose a security risk

• The string value contains text that looks like embedded HTML tags. If this content is rendered to HTML without appropriate post-processing, it may be a security risk (0 uses)

These CodeSystems are not present in the tx.fhir.org terminology server and therefore cannot be checked without own terminology server

• Unknown System 'urn:oid:1.2.276.0.76.5.491' specified, so Concepts and Filters can't be checked (Details: A definition for CodeSystem 'urn:oid:1.2.276.0.76.5.491' could not be found, so the code cannot be validated) (0 uses)

These Value Sets are not present in the tx.fhir.org terminology server and therefore cannot be checked without own terminology server

• The value set import urn:oid:1.2.276.0.76.11.469 could not be found so cannot be checked (0 uses)

We only want to provide a narrative if needed

• %resource should have narrative for robust management% (9 uses)
• Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/CapabilityStatement) (Best Practice Recommendation) (0 uses)
• Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (0 uses)

output/DataInclusion.html

• The html source does not contain the publish box; this is recommended for publishing support (see note at http://wiki.hl7.org/index.php?title=FHIR_Implementation_Guide_Publishing_Requirements#HL7_HTML_Standards_considerations). Note that this is mandatory for HL7 specifications, and on the ci-build, but in other cases it's still recommended (this is only reported once, but applies for all pages) (0 uses)

tx.fhir.org does not support ICD-10-GM

• Error from http://tx.fhir.org/r4: Unable to provide support for code system urn:oid:1.2.276.0.76.5.548 (0 uses)

tx.fhir.org does not support gematik own system

• Error from http://tx.fhir.org/r4: Unable to provide support for code system urn:oid:1.2.276.0.76.5.491 (0 uses)

tx.fhir.org does not support ihe-d.de system

• %http://www.ihe-d.de/% (0 uses)

Errors sorted by type

CODESYSTEM_CS_UNK_EXPANSION