Issue while validating resource against the http://hl7.org/fhir/StructureDefinition/Endpoint StructureDefinition

[shupurwa]

Hi Team,

We are getting the below error while validating resources against the http://hl7.org/fhir/StructureDefinition/Endpoint StructureDefinition. In managingOrganization section we provided reference as #2621 and reference 2621 do have a Contained section but still, we are getting the error 'SHALL have a contained resource if a local reference is provided'

Please let us know what is wrong with the JSON.

FYI We have validated same via other validator and results look good.(Ex: https://validator.fhir.org/)

{ "resourceType": "Bundle", "type": "collection", "entry": [ { "fullUrl": "https://fhir.dev.meditouchehr.com/api/fhir/r4/Endpoint/2621", "resource": { "resourceType": "Endpoint", "id": "2621", "contained": [ { "resourceType": "Organization", "id": "2621", "meta": { "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization" ] }, "active": true, "name": "Lozito Medical", "telecom": [ { "system": "phone", "value": "9734234770", "use": "work" } ], "address": [ { "country": "USA" } ] } ], "identifier": [ { "value": "2621" } ], "status": "active", "connectionType": { "system": "http://terminology.hl7.org/CodeSystem/endpoint-connection-type", "code": "hl7-fhir-rest" }, "managingOrganization": { "reference": "#2621" }, "period": { "start": "2006-08-25T16:00:34+05:30" }, "payloadType": [ { "coding": [ { "system": "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/EndpointPayloadTypeCS", "code": "NA" } ] } ], "payloadMimeType": [ "application/fhir+json", "application/json+fhir" ], "address": "https://fhir.dev.meditouchehr.com/api/fhir/r4/" } }, { "fullUrl": "https://fhir.dev.meditouchehr.com/api/fhir/r4/Endpoint/4011", "resource": { "resourceType": "Endpoint", "id": "4011", "contained": [ { "resourceType": "Organization", "id": "4011", "meta": { "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization" ] }, "active": true, "name": "Hawthorne Family Practice (frmrly Joel Victor)", "telecom": [ { "system": "phone", "value": "9734272421", "use": "work" } ], "address": [ { "line": [ "1111 Goffle Road" ], "country": "USA" } ] } ], "identifier": [ { "value": "4011" } ], "status": "active", "connectionType": { "system": "http://terminology.hl7.org/CodeSystem/endpoint-connection-type", "code": "hl7-fhir-rest" }, "managingOrganization": { "reference": "#4011" }, "period": { "start": "2006-08-25T16:16:17+05:30" }, "payloadType": [ { "coding": [ { "system": "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/EndpointPayloadTypeCS", "code": "NA" } ] } ], "payloadMimeType": [ "application/fhir+json", "application/json+fhir" ], "address": "https://fhir.dev.meditouchehr.com/api/fhir/r4/" } }, { "fullUrl": "https://fhir.dev.meditouchehr.com/api/fhir/r4/Endpoint/5036", "resource": { "resourceType": "Endpoint", "id": "5036", "contained": [ { "resourceType": "Organization", "id": "5036", "meta": { "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization" ] }, "active": true, "name": "Dr Marc Darr", "telecom": [ { "system": "phone", "value": "9284455339", "use": "work" } ], "address": [ { "line": [ "1672 Oaklawn Drive" ], "country": "USA" } ] } ], "identifier": [ { "value": "5036" } ], "status": "active", "connectionType": { "system": "http://terminology.hl7.org/CodeSystem/endpoint-connection-type", "code": "hl7-fhir-rest" }, "managingOrganization": { "reference": "#5036" }, "period": { "start": "2006-08-25T16:30:41+05:30" }, "payloadType": [ { "coding": [ { "system": "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/EndpointPayloadTypeCS", "code": "NA" } ] } ], "payloadMimeType": [ "application/fhir+json", "application/json+fhir" ], "address": "https://fhir.dev.meditouchehr.com/api/fhir/r4/" } }, { "fullUrl": "https://fhir.dev.meditouchehr.com/api/fhir/r4/Endpoint/1442", "resource": { "resourceType": "Endpoint", "id": "1442", "contained": [ { "resourceType": "Organization", "id": "1442", "meta": { "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization" ] }, "active": true, "name": "CLEVELAND CLINIC HOME CARE SERVICES", "telecom": [ { "system": "phone", "value": "2166368645", "use": "work" } ], "address": [ { "line": [ "6801Breckville Rd", "Suite" ], "city": "Independence", "state": "OH", "postalCode": "44131", "country": "USA" } ] } ], "identifier": [ { "value": "1442" } ], "status": "active", "connectionType": { "system": "http://terminology.hl7.org/CodeSystem/endpoint-connection-type", "code": "hl7-fhir-rest" }, "managingOrganization": { "reference": "#1442" }, "period": { "start": "2006-08-22T08:00:21+05:30" }, "payloadType": [ { "coding": [ { "system": "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/EndpointPayloadTypeCS", "code": "NA" } ] } ], "payloadMimeType": [ "application/fhir+json", "application/json+fhir" ], "address": "https://fhir.dev.meditouchehr.com/api/fhir/r4/" } } ] }

[dehall]

Hi, thanks for providing the full details, I was able to reproduce this both on the Inferno validator and validator.fhir.org.

The short answer is: don't specify the http://hl7.org/fhir/StructureDefinition/Endpoint profile. At best it's unnecessary, because the validator will always validate resources against the appropriate base FHIR StructureDefinition. In this case though it's incorrect, because the resource you're validating is a Bundle. It may contain Endpoints but it's still a Bundle. I think that caused the core validator to get confused. You can get the same behavior on validator.fhir.org by specifying that profile on the Options page: -->

For a little more detail, the validator will validate resources against 3 sets of profiles:

• The base FHIR StructureDefinition, ie, http://hl7.org/fhir/StructureDefinition/{resourceType}
• Profiles specified in the resource's meta.profile
  • (Note one difference between Inferno and validator.fhir.org is that validator.fhir.org will try to download arbitrary IGs from a package server based on the meta.profile, but the public Inferno validator will not automatically do these downloads, you have to manually upload the IG you want)
• Profiles specifically chosed to validate against. On the Inferno validator this is the "Advanced Options > Select a profile", on validator.fhir.org this is "Options > Profiles"

(There may even be more in certain situations)

The point is, there's no need to specify a base FHIR StructureDefinition since it will be validated automatically. Then in this case, the resource you're validating is a Bundle, so choosing a profile for a different resource can apparently confuse it and produce inconsistent results. If you pick out the individual Endpoints you can validate against whichever Endpoint profile you like and you'll get the expected results.

Please let us know if you continue to see unexpected error messages