Validation Results for HL7EuImagingStudyManifest

Generated Fri Oct 16 07:45:37 CEST 2026, FHIR version 4.0.1 for hl7.fhir.eu.imaging-manifest#1.0.0-ballot (canonical = http://hl7.eu/fhir/imaging-manifest (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v3.0.1
Publication Code:	n/a . PackageId = hl7.fhir.eu.imaging-manifest, Canonical = http://hl7.eu/fhir/imaging-manifest
Realm Check for n/a:	n/a
Language Info:	Stated Languages: n/a. IG Resource Lang: en. 2 of 29 (6%) of resources have a language. Population Policy: NONE
Publication Request:	package-id hl7.fhir.eu.imaging-manifest version 1.0.0-ballot path http://hl7.eu/fhir/imaging-manifest/1.0.0-ballot Pub-Mode milestone status ballot Release-Label ballot Sequence (Group) STU 1 desc This is the first ballot of the Imaging Manifest FHIR IG STU 1 first true category Imaging title EU Manifest-based Access to DICOM Objects (EU-MADO) introduction This guide is the EU specific version of the IHE-MADO profile. ci-build https://build.fhir.org/ig/hl7-eu/imaging-manifest RelatedIgs (None Found) This IG has never been published This release is labelled as a milestone, so should not have a patch version (1.0.0-ballot)
Supressed Messages:	24 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment hl7.fhir.eu.imaging-manifest 1.0.0-ballot R4 http://hl7.eu/fhir/imaging-manifest hl7.fhir.eu.imaging-manifest / hl7.terminology.r4 7.4.0 M Latest Milestone Release. R4 http://terminology.hl7.org http://terminology.hl7.org/7.4.0 hl7.fhir.eu.imaging-manifest / hl7.fhir.uv.extensions.r4 5.3.0 M Latest Milestone Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.3.0 hl7.fhir.eu.imaging-manifest / hl7.fhir.uv.extensions.r4 / hl7.terminology.r4 7.1.0 O Outdated Release. R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 Latest Release is 7.4.0 hl7.fhir.eu.imaging-manifest / hl7.fhir.uv.extensions.r4 / hl7.terminology.r4 / hl7.fhir.uv.extensions.r4 5.2.0 O Outdated Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 Latest Release is 5.3.0 hl7.fhir.eu.imaging-manifest / ihe.rad.mado 1.0.0 M Latest Milestone Release. R4 https://profiles.ihe.net/RAD/MADO https://profiles.ihe.net/RAD/MADO/1.0.0 hl7.fhir.eu.imaging-manifest / ihe.rad.mado / hl7.terminology.r4 7.3.0 O Outdated Release. R4 http://terminology.hl7.org http://terminology.hl7.org/7.3.0 Latest Release is 7.4.0 hl7.fhir.eu.imaging-manifest / ihe.rad.mado / hl7.terminology.r4 / hl7.fhir.uv.extensions.r4 5.3.0 M Latest Milestone Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.3.0 (as above) hl7.fhir.eu.imaging-manifest / ihe.rad.mado / hl7.fhir.uv.extensions.r4 5.3.0 M Latest Milestone Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.3.0 (as above) hl7.fhir.eu.imaging-manifest / ihe.rad.mado / ihe.iti.mhd 4.2.3 O Outdated Release. R4 https://profiles.ihe.net/ITI/MHD https://profiles.ihe.net/ITI/MHD/4.2.3 Latest Release is 4.2.5-comment hl7.fhir.eu.imaging-manifest / ihe.rad.mado / ihe.iti.mhd / hl7.terminology.r4 6.5.0 O Outdated Release. R4 http://terminology.hl7.org http://terminology.hl7.org/6.5.0 Latest Release is 7.4.0 hl7.fhir.eu.imaging-manifest / ihe.rad.mado / ihe.iti.mhd / hl7.terminology.r4 / hl7.fhir.uv.extensions.r4 5.2.0 O Outdated Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0 hl7.fhir.eu.imaging-manifest / ihe.rad.mado / ihe.iti.mhd / hl7.fhir.uv.extensions.r4 5.2.0 O Outdated Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0 hl7.fhir.eu.imaging-manifest / ihe.rad.mado / ihe.iti.mhd / ihe.iti.balp 1.1.4 M Latest Milestone Release. R4 https://profiles.ihe.net/ITI/BALP https://profiles.ihe.net/ITI/BALP/1.1.4 hl7.fhir.eu.imaging-manifest / ihe.rad.mado / ihe.iti.mhd / ihe.iti.balp / hl7.terminology.r4 6.5.0 O Outdated Release. R4 http://terminology.hl7.org http://terminology.hl7.org/6.5.0 (as above). Latest Release is 7.4.0 hl7.fhir.eu.imaging-manifest / ihe.rad.mado / ihe.iti.mhd / ihe.iti.balp / hl7.fhir.uv.extensions.r4 5.2.0 O Outdated Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0 hl7.fhir.eu.imaging-manifest / ihe.rad.mado / ihe.iti.mhd / ihe.formatcode.fhir 1.4.0 O Outdated Release. 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 1.6.0 hl7.fhir.eu.imaging-manifest / ihe.rad.mado / ihe.iti.mhd / ihe.formatcode.fhir / hl7.terminology.r4 6.3.0 O Outdated Release. R4 http://terminology.hl7.org http://terminology.hl7.org/6.3.0 Latest Release is 7.4.0 hl7.fhir.eu.imaging-manifest / ihe.rad.mado / ihe.iti.mhd / ihe.formatcode.fhir / hl7.terminology.r4 / hl7.fhir.uv.extensions.r4 5.2.0 O Outdated Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0 hl7.fhir.eu.imaging-manifest / ihe.rad.mado / ihe.iti.mhd / ihe.formatcode.fhir / hl7.fhir.uv.extensions.r4 5.2.0 O Outdated Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0 hl7.fhir.eu.imaging-manifest / ihe.rad.mado / hl7.fhir.uv.xver-r5.r4 0.1.0 U Not yet released. R4 http://hl7.org/fhir/uv/xver http://hl7.org/fhir/uv/xver-r5.r4/0.1.0 hl7.fhir.eu.imaging-manifest / ihe.rad.mado / hl7.fhir.uv.xver-r5.r4 / hl7.terminology.r4 7.1.0 O Outdated Release. R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 (as above). Latest Release is 7.4.0 hl7.fhir.eu.imaging-manifest / ihe.rad.mado / hl7.fhir.uv.xver-r5.r4 / hl7.fhir.uv.extensions.r4 5.2.0 O Outdated Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0 hl7.fhir.eu.imaging-manifest / ihe.rad.mado / fhir.dicom 2025.3.20250714 M Latest Milestone Release. R4 http://fhir.org/packages/fhir.dicom http://fhir.org/packages/fhir.dicom hl7.fhir.eu.imaging-manifest / ihe.rad.mado / ihe.formatcode.fhir 1.5.0 O Outdated Release. R4 https://profiles.ihe.net/fhir/ihe.formatcode.fhir https://profiles.ihe.net/fhir/ihe.formatcode.fhir/1.5.0 Latest Release is 1.6.0 hl7.fhir.eu.imaging-manifest / ihe.rad.mado / ihe.formatcode.fhir / hl7.terminology.r4 7.1.0 O Outdated Release. R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 (as above). Latest Release is 7.4.0 hl7.fhir.eu.imaging-manifest / ihe.rad.mado / ihe.formatcode.fhir / hl7.fhir.uv.extensions.r4 5.2.0 O Outdated Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0 hl7.fhir.eu.imaging-manifest / ihe.iti.mhd 4.2.3 O Outdated Release. R4 https://profiles.ihe.net/ITI/MHD https://profiles.ihe.net/ITI/MHD/4.2.3 (as above). Latest Release is 4.2.5-comment hl7.fhir.eu.imaging-manifest / hl7.fhir.eu.base 2.0.1 M Latest Milestone Release. R4 http://hl7.eu/fhir/base http://hl7.eu/fhir/base/2.0.1 hl7.fhir.eu.imaging-manifest / hl7.fhir.eu.base / hl7.terminology.r4 7.3.0 O Outdated Release. R4 http://terminology.hl7.org http://terminology.hl7.org/7.3.0 (as above). Latest Release is 7.4.0 hl7.fhir.eu.imaging-manifest / hl7.fhir.eu.base / hl7.fhir.uv.extensions.r4 5.3.0 M Latest Milestone Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.3.0 (as above) hl7.fhir.eu.imaging-manifest / hl7.fhir.eu.base / hl7.fhir.uv.xver-r5.r4 0.1.0 U Not yet released. R4 http://hl7.org/fhir/uv/xver http://hl7.org/fhir/uv/xver-r5.r4/0.1.0 (as above) hl7.fhir.eu.imaging-manifest / hl7.fhir.eu.base / hl7.fhir.eu.extensions.r4 1.3.1 M Latest Milestone Release. R4 http://hl7.eu/fhir/extensions http://hl7.eu/fhir/extensions/1.3.1 hl7.fhir.eu.imaging-manifest / hl7.fhir.eu.base / hl7.fhir.eu.extensions.r4 / hl7.terminology.r4 7.3.0 O Outdated Release. R4 http://terminology.hl7.org http://terminology.hl7.org/7.3.0 (as above). Latest Release is 7.4.0 hl7.fhir.eu.imaging-manifest / hl7.fhir.eu.base / hl7.fhir.eu.extensions.r4 / hl7.fhir.uv.extensions.r4 5.3.0 M Latest Milestone Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.3.0 (as above) hl7.fhir.eu.imaging-manifest / hl7.fhir.eu.base / ihe.pharm.mpd.r4 1.0.0-comment-2 M Latest Milestone Release. R4 https://profiles.ihe.net/PHARM/MPD https://profiles.ihe.net/PHARM/MPD/1.0.0-comment-2 hl7.fhir.eu.imaging-manifest / hl7.fhir.eu.base / ihe.pharm.mpd.r4 / hl7.terminology.r4 6.3.0 O Outdated Release. R4 http://terminology.hl7.org http://terminology.hl7.org/6.3.0 (as above). Latest Release is 7.4.0 hl7.fhir.eu.imaging-manifest / hl7.fhir.eu.base / ihe.pharm.mpd.r4 / hl7.fhir.uv.extensions.r4 5.2.0 O Outdated Release. R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0 hl7.fhir.eu.imaging-manifest / hl7.fhir.eu.extensions.r4 1.3.1 M Latest Milestone Release. R4 http://hl7.eu/fhir/extensions http://hl7.eu/fhir/extensions/1.3.1 (as above) hl7.fhir.eu.imaging-manifest / hl7.fhir.uv.xver-r5.r4 0.1.0 U Not yet released. R4 http://hl7.org/fhir/uv/xver http://hl7.org/fhir/uv/xver-r5.r4/0.1.0 (as above) hl7.fhir.eu.imaging-manifest / hl7.fhir.uv.tools.r4 1.3.0 M Latest Milestone Release. R4 http://hl7.org/fhir/tools http://hl7.org/fhir/tools/1.3.0 Internal Dependency Templates: hl7.fhir.eu.template#0.0.1 -> hl7.fhir.template#current -> hl7.base.template#current -> fhir2.base.template#current
Related IGs:	n/a
Dependent IGs:	no references
Global Profiles:	(none declared)
Terminology Server(s):	https://tx.fhir.org/r4 (details)
HTA Analysis:	no Non-HL7 references found
R5 Dependencies:	http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.url http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.publisher http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.version http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.description http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.name http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.contact http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.title http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.date http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.type http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.documentation http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.status http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.jurisdiction http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.copyright
Draft Dependencies:	hl7.fhir.r4.core#4.0.1: GuideParameterCode (16 uses), DocumentRelationshipType (2 uses), CommonLanguages (14 uses), Composition (8 uses), CompositionStatus (3 uses), FHIRDocumentTypeCodes (1 uses), Encounter (5 uses), Practitioner (13 uses), PractitionerRole (13 uses), Device (8 uses), RelatedPerson (9 uses), Organization (25 uses), CompositionAttestationMode (1 uses), DocumentRelationshipType (5 uses), DocumentSectionCodes (1 uses), ListMode (1 uses), ListOrderCodes (1 uses), ListEmptyReasons (1 uses), DeviceDefinition (1 uses), UDIEntryType (1 uses), FHIRDeviceStatus (1 uses), FHIRDeviceStatusReason (1 uses), DeviceNameType (1 uses), DeviceType (1 uses), Location (3 uses), OrganizationType (1 uses), ContactEntityType (1 uses), Endpoint (3 uses), CommonTags (2 uses), DocumentReference (4 uses), EpisodeOfCare (2 uses), ImagingStudyStatus (1 uses), CarePlan (2 uses), ServiceRequest (4 uses), Appointment (1 uses), AppointmentResponse (1 uses), Task (1 uses), Procedure (1 uses), ProcedureReasonCodes (2 uses), Condition (2 uses), Media (1 uses), DiagnosticReport (2 uses), SNOMEDCTBodyStructures (2 uses), Laterality (1 uses), Specimen (2 uses), ImagingStudySeriesPerformerFunction (1 uses), CareTeam (2 uses), ActivityDefinition (1 uses), PlanDefinition (1 uses), MedicationRequest (1 uses), RequestStatus (1 uses), RequestIntent (1 uses), ServiceRequestCategoryCodes (1 uses), RequestPriority (1 uses), ServiceRequestOrderDetailsCodes (1 uses), SNOMEDCTMedicationAsNeededReasonCodes (1 uses), ParticipantRoles (1 uses), HealthcareService (1 uses), Coverage (1 uses), ClaimResponse (1 uses), Provenance (1 uses), EndpointStatus (2 uses), EndpointConnectionType (2 uses), EndpointPayloadType (4 uses) hl7.fhir.uv.extensions.r4#5.3.0: SDcompliesWithProfile (2 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Unable to compare with previous version: Unable to find version history at http://hl7.eu/fhir/imaging-manifest (Problem #1 with package-list.json at http://hl7.eu/fhir/imaging-manifest: 404 Not Found)
IPA Comparison:	n/a
IPS Comparison:	n/a
Validation Flags:	On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Summary:	errors = 0, warn = 0, info = 0, broken links = 0, pinned = n/a. Show Message Ids

n/a Show Validation Information

Suppressed Messages (Warnings, hints, broken links)

Binding not effective on the slices for canonical

• The Binding on the type slicer DocumentReference.content.extension.extension.value[x] applies to all its slices, but it only makes sense for some of its types, so it has no effect on the slices for canonical (1 uses)

Comes out of the base spec - ignore

• %which is experimental, but this structure is not labeled as experimental (1 uses)

DICOM UID code system is an external ontology not distributed as a FHIR resource, so its codes cannot be validated.

• %A definition for CodeSystem 'http://dicom.nema.org/resources/CodeSystem/DICOM_UIDs' could not be found% (4 uses)

DICOM ValueSets are not available using download

• ValueSet 'http://dicom.nema.org/medical/dicom/current/output/chtml/part04% (4 uses)

DICOM publishes this UID code system as an external ontology rather than an IG package resource.

• A definition for CodeSystem 'http://dicom.nema.org/resources/ontology/DCMUID' could not be found% (2 uses)

DICOM valuesets do not resolve - that is expected.

• %Canonical URL 'http://dicom.nema.org/medical/dicom/current/output/chtml/part% (1 uses)
• The link '??' for "AcquisitionModality% (8 uses)

Deprecated R5 extensions/discriminator style are inherited from base FHIR snapshot generation, not authored content.

• %The discriminator type 'pattern' is deprecated in R5+% (1 uses)
• %The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet% (1 uses)
• %The extension http://hl7.org/fhir/StructureDefinition/regex|5.3.0 is deprecated% (1 uses)

External EU Health Data API CodeSystem is not distributed in the configured dependency cache.

• A definition for CodeSystem 'http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs' could not be found% (4 uses)

MHD remains pinned to 4.2.3 for compatibility; upgrade to 5.0.0 is deferred.

• The ImplementationGuide 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)

OID registration is optional and out of scope for this IG.

• %could usefully have an OID assigned% (16 uses)

Obligation extension elements (inherited from the base obligation extension) and example identifiers are not intended to match a named slice.

• %does not match any known slice defined in the profile% (143 uses)

Pre-ballot: the HL7 Jira spec artifact is registered as part of ballot preparation, not during CI builds.

• %There is no jira specification file defined with the expected name of FHIR-eu-imaging-manifest% (0 uses)

SCT edition

• The IG is not for the international realm, and it uses SNOMED CT, so it should fix the SCT edition in the expansion parameters (1 uses)

The DICOM KOS format code is intentionally outside the IHE format code value set.

• %is not in the value set 'IHE ValueSet of Format Codes for use with Document Sharing'% (1 uses)

The IG is draft and so will have draft codesystems.

• %Reference to draft CodeSystem% (6 uses)

The MADO content profile canonical used in the example is not expected to be a member of the base FHIR cross-version format code value set.

• %was not found in the value set 'Cross-version ValueSet R5.HL7FormatCodes for use in FHIR R4'% (1 uses)

The R5 jurisdiction ValueSet used by ActorDefinition.jurisdiction is inherited from the base FHIR spec.

• %Reference to deprecated ValueSet http://hl7.org/fhir/5.0/ValueSet/jurisdiction% (3 uses)

The inherited MADO RadLex binding uses an external canonical that is not resolvable by the publisher.

• A definition could not be found for Canonical URL 'http://www.rsna.org/RadLex_Playbook.aspx'% (1 uses)
• ValueSet 'http://www.rsna.org/RadLex_Playbook.aspx' not found% (2 uses)

These worked examples intentionally use local relative references to companion resources.

• No definition could be found for URL value 'Binary/kos-binary-example'% (1 uses)
• No definition could be found for URL value 'Bundle/bundle-mado-example'% (1 uses)

Errors sorted by type