Provider directory data quality — a mid-size enterprise payer in the state of Arizona, subject to CMS-9115-F owing to participation in both Medicaid and Medicare Advantage plans

Full-population analysis of 3,133,014 published FHIR records, reported per line of business — Medicaid and Medicare Advantage, with records carrying a third source marker (Other (ODS)) reported separately. Findings are defect patterns in plain language, graded as a reading aid — not a compliance verdict. See §A.

Medicare Plan Finder impact. CMS requires Medicare Advantage organizations to publish this directory in exactly the machine-readable format measured here (42 CFR 422.111(m), naming Plan-Net 1.2.0). As captured, the one published InsurancePlan record is a placeholder, not real plan data — its only identifier is the bare value "1", its required type is present solely as a data-absent-reason, it names no network, period, or coverage area, and it has not been modified since 2024-10-18 while the rest of the directory refreshes regularly — so it cannot be matched to a Plan Finder plan entry, and this report cannot assess whether a real plan record would meet the guide's requirements; 0 of 45,616 Medicare Advantage provider roles carry the NPI the guide requires at the role level; 0 provider roles link to any network, so in-network provider lookup — Plan Finder's core function — has no data path; the OrganizationAffiliation records the guide requires are absent entirely. Until real plan-level data is published, this directory cannot power Medicare Plan Finder provider search for the Medicare Advantage line. Full element-by-element readiness: §F.

How to read this report. The unit is a finding: one defect pattern, counted once per record it touches (raw message counts are shown too, but never alone). Every rate shows its denominator (n) and renders in 20-point shaded bands whose color encodes how wide the affected share is — red for the widest share, amber for a moderate one, blue-gray for a narrow one, blue for little or none — whichever direction the failure lies: a high affected-rate goes red, and so does a LOW populated-rate. A cell smaller than 30 records shows the exact count instead of a percentage, colored the same way. Isolated / Partial / Widespread bands are a reading aid over the three data-quality categories only — fixed cuts, defined in §A, never a compliance verdict. Sources: Medicaid and Medicare Advantage are the two lines of business; Other (ODS) is the label for a third source marker found only on organization records — reported separately, never folded into either line, and characterized from its own data in §K. Click any row with a ▸ marker to open its drill-down in place.

A. Summary

source: a mid-size enterprise payer in the state of Arizona, subject to CMS-9115-F owing to participation in both Medicaid and Medicare Advantage planslines of business: Medicaid · Medicare Advantagedata captured 2026-08-25analysis 2026-08-29standard: Da Vinci PDex Plan-Net 1.2.0

What this is. Every FHIR record in the plan's published Plan-Net provider directory — 3,133,014 records — was validated against the Da Vinci PDex Plan-Net 1.2.0 profiles, and the population was independently audited for element completeness, referential integrity, locality, and placeholder values. This report describes measured agreement with the published standard as a set of data-quality signals. It is not a certification, a regulatory compliance determination, or a legal assessment, and no number in it should be read as one.

records validated (100% of capture): 3,133,014
… in the directory proper: 1,756,583
… carrying the Other (ODS) marker: 1,376,431
raw validator messages: 31,320,889
distinct defect patterns (findings): 153

tests in the Isolated band: 1
tests in the Partial band: 8
tests in the Widespread band: 2
cells too small to grade: 2

What matters most in this data

The plan→network→provider chain cannot be walked: one insurance plan record is published, none names a network, no role or affiliation references any of the 36 network records, so no provider can be tied to any plan or network.
50,492 of 221,172 practitioners (23%) are published with active = false — inactive records shipped into a directory whose profile requires active ones (Medicare Advantage: 50,492 of 205,454 / Medicaid: 0 of 15,718).
Most provider roles never say what kind of provider they are: PractitionerRole.code (a must-support element) is populated on Medicare Advantage: 0 of 45,616, Medicaid: 18,862 of 50,411. The validator cannot see absent elements, so this comes from the element-population audit (§C).
325,187 of 915,339 locations (36%) are outside the plan's home state; the two lines of business differ (§I).
12,382,415 of 31,320,889 validator messages (40%) trace to one mechanical defect: stamping “4.0.1” as the version of every code system (§B, code-system version stamping).
A single defect averages 501 repeats per affected record (extension › extension › value › coding › system (inside the profile's extension family — the message text names the failing item) on PractitionerRole) — pathological array duplication, not many distinct problems.
1,376,431 of 3,133,014 validated records (44%) carry the Other (ODS) marker, not either line of business; aggregate numbers that pool it describe someone else's dataset (§K).

Records by source

source / line of business	records
Other (ODS) — a source system, not a line of business	1,376,431
Medicare Advantage	1,084,751
Medicaid	671,832

How to read the grades. A test is one (record type, issue category) cell over the three categories that measure the payer's own data (structural conformance, required code sets, preferred code sets). Isolated: under 10% of records affected and nothing error-severity. Widespread: 40%+ of records affected including error-severity findings. Partial: everything between. The cuts are fixed constants, not tuned to this payer. Grades are a reading aid layered over the banded rates and record counts beside them — never a substitute, and never a verdict. Environment artifacts (uncheckable codes, validator limitations, the publisher's own metadata extension) are reported separately in §B and are excluded from every grade and every headline rate.

B. Tests

one test per (record type, issue category); ordered by affected-rate; click any row for the drill-down

In plain terms: each row below is one kind of check on one record type. The graded rows measure the publisher's own data; the ungraded block underneath collects things that are real but are not data defects (validation-environment limits, the publisher's tooling habits), so they can never inflate or excuse a grade.

Data-quality tests (graded)

Partial Practitioner preferred code sets all 221,172 records

A coded field carries a value outside the profile's preferred code set. Allowed when no listed code applies, but at scale it usually means a local code system is used where a standard one exists.

Rate by source

source / line of business	records affected
Medicare Advantage	all 205,454 records
Medicaid	all 15,718 records

Which code sets fail

The failing code set names the exact profile rule even where one element row above spans several profile slices.

code set	records affected	by source
http://hl7.org/fhir/ValueSet/identifier-type	all 221,172 records	Medicare Advantage: 205,454 of 205,454 Medicaid: 15,718 of 15,718

Constituent findings

element	severity / requirement	records affected	repeats per record
identifier › typePractitioner.identifier.type	warning must-support	all 221,172 records	1.0×
No code was provided where the profile expects one from a specific code set. Medicare Advantage: 205,454 of 205,454 Medicaid: 15,718 of 15,718
identifier › typePractitioner.identifier.type	warning must-support	all 221,172 records	1.0×
None of the codes provided are in the profile's preferred code set for this field. Medicare Advantage: 205,454 of 205,454 Medicaid: 15,718 of 15,718

Widespread Network structural conformance all 36 records

The record breaks a rule the applicable profile states directly: a required element is missing, a value the profile fixes is different, or a structural invariant fails. These are the defects a directory consumer hits first.

Rate by source

source / line of business	records affected
Medicare Advantage	all 36 records

Constituent findings

element	severity / requirement	records affected	repeats per record
the Network record as a wholeOrganization	error whole record	all 36 records	1.0×
A required component is missing (for example a geolocation extension without its latitude/longitude parts). Medicare Advantage: 36 of 36
address › extension (spans 2 profile slices — the failing rule is identified by its code set in the drill-down)Organization.address.extension	error mixed slices	66.7%n=36	94.7×
A required, specifically-typed component is missing from a structure that demands it. Medicare Advantage: 24 of 36
address › extension (spans 2 profile slices — the failing rule is identified by its code set in the drill-down)Organization.address.extension	error mixed slices	66.7%n=36	23.7×
An extension carries both a direct value and sub-extensions, which FHIR does not allow. Medicare Advantage: 24 of 36
address › extension (spans 2 profile slices — the failing rule is identified by its code set in the drill-down)Organization.address.extension	error mixed slices	66.7%n=36	23.7×
A required component is missing (for example a geolocation extension without its latitude/longitude parts). Medicare Advantage: 24 of 36
address › textOrganization.address.text	warning mixed slices	11.1%n=36	2.0×
A text value starts or ends with stray whitespace (e.g. a name stored with a trailing space). Medicare Advantage: 4 of 36

too few rows to grade InsurancePlan preferred code sets 1 of 1 records

A coded field carries a value outside the profile's preferred code set. Allowed when no listed code applies, but at scale it usually means a local code system is used where a standard one exists.

Rate by source

source / line of business	records affected
Medicare Advantage	1 of 1 records

Which code sets fail

The failing code set names the exact profile rule even where one element row above spans several profile slices.

code set	records affected	by source
http://hl7.org/fhir/us/davinci-pdex-plan-net/ValueSet/InsuranceProductTypeVS	1 of 1 records	Medicare Advantage: 1 of 1

Constituent findings

element	severity / requirement	records affected	repeats per record
typeInsurancePlan.type	warning required element	1 of 1 records	1.0×
No code was provided where the profile expects one from a specific code set. Medicare Advantage: 1 of 1

too few rows to grade InsurancePlan structural conformance 1 of 1 records

Rate by source

source / line of business	records affected
Medicare Advantage	1 of 1 records

Constituent findings

element	severity / requirement	records affected	repeats per record
the InsurancePlan record as a wholeInsurancePlan	error whole record	1 of 1 records	1.0×
The insurance plan names no network at all — the link that connects a plan to its provider networks is absent. Medicare Advantage: 1 of 1

Partial PractitionerRole preferred code sets 98.9%n=96,027 94,975 of 96,027 records

A coded field carries a value outside the profile's preferred code set. Allowed when no listed code applies, but at scale it usually means a local code system is used where a standard one exists.

Rate by source

source / line of business	records affected
Medicare Advantage	all 45,616 records
Medicaid	97.9%n=50,411

Which code sets fail

The failing code set names the exact profile rule even where one element row above spans several profile slices.

code set	records affected	by source
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066	98.9%n=96,027	Medicare Advantage: 45,616 of 45,616 Medicaid: 49,357 of 50,411
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30	<0.1%n=96,027	Medicaid: 73 of 50,411

Constituent findings

element	severity / requirement	records affected	repeats per record
specialtyPractitionerRole.specialty	warning must-support	98.9%n=96,027	1.5×
None of the codes provided are in the profile's preferred code set for this field. Medicare Advantage: 45,616 of 45,616 Medicaid: 49,357 of 50,411
codePractitionerRole.code	warning must-support	<0.1%n=96,027	1.0×
None of the codes provided are in the profile's preferred code set for this field. Medicaid: 73 of 50,411
specialtyPractitionerRole.specialty	warning must-support	<0.1%n=96,027	1.0×
No code was provided where the profile expects one from a specific code set. Medicaid: 4 of 50,411

Partial Organization preferred code sets 95.9%n=1,862,241 1,786,308 of 1,862,241 records

A coded field carries a value outside the profile's preferred code set. Allowed when no listed code applies, but at scale it usually means a local code system is used where a standard one exists.

Rate by source

source / line of business	records affected
Medicare Advantage	76.8%n=218,574
Medicaid	90.6%n=267,236
Other (ODS)	all 1,376,431 records

Which code sets fail

The failing code set names the exact profile rule even where one element row above spans several profile slices.

code set	records affected	by source
http://hl7.org/fhir/ValueSet/identifier-type	95.9%n=1,862,241	Medicare Advantage: 167,887 of 218,574 Medicaid: 241,990 of 267,236 Other (ODS): 1,376,431 of 1,376,431

Constituent findings

element	severity / requirement	records affected	repeats per record
identifier › typeOrganization.identifier.type	warning must-support	95.9%n=1,862,241	1.0×
None of the codes provided are in the profile's preferred code set for this field. Medicare Advantage: 167,887 of 218,574 Medicaid: 241,990 of 267,236 Other (ODS): 1,376,431 of 1,376,431

Widespread Practitioner structural conformance 95.0%n=221,172 210,064 of 221,172 records

Rate by source

source / line of business	records affected
Medicare Advantage	98.7%n=205,454
Medicaid	46.2%n=15,718

Constituent findings

element	severity / requirement	records affected	repeats per record
address › period › endPractitioner.address.period.end	warning sub-field of an optional element	86.1%n=221,172	4.0×
A date on the record is outside the range of plausible years — typically a placeholder such as 2999-12-31 (“never expires”) or 1753-01-01 (a system-minimum start date). Medicare Advantage: 190,324 of 205,454
name › textPractitioner.name.text	warning must-support	44.4%n=221,172	1.0×
A text value starts or ends with stray whitespace (e.g. a name stored with a trailing space). Medicare Advantage: 90,934 of 205,454 Medicaid: 7,254 of 15,718
activePractitioner.active	error required element	22.8%n=221,172	1.0×
The record carries a value the profile fixes to something else — for example active = false where the profile fixes active = true, or an inactive qualification status where the profile fixes it active: the publisher ships records it has itself marked inactive. Medicare Advantage: 50,492 of 205,454
qualification › extension › extension › value (spans 2 profile slices — the failing rule is identified by its code set in the drill-down)Practitioner.qualification.extension.extension.value[x]	error required element	13.1%n=221,172	1.1×
The record carries a value the profile fixes to something else — for example active = false where the profile fixes active = true, or an inactive qualification status where the profile fixes it active: the publisher ships records it has itself marked inactive. Medicare Advantage: 29,052 of 205,454
qualification › period › endPractitioner.qualification.period.end	warning sub-field of a must-support element	10.6%n=221,172	1.1×
A date on the record is outside the range of plausible years — typically a placeholder such as 2999-12-31 (“never expires”) or 1753-01-01 (a system-minimum start date). Medicare Advantage: 23,484 of 205,454
address › period › startPractitioner.address.period.start	warning sub-field of an optional element	<0.1%n=221,172	1.1×
A date on the record is outside the range of plausible years — typically a placeholder such as 2999-12-31 (“never expires”) or 1753-01-01 (a system-minimum start date). Medicare Advantage: 23 of 205,454 Medicaid: 1 of 15,718
qualificationPractitioner.qualification	error must-support	<0.1%n=221,172	3.0×
A required component is missing (for example a geolocation extension without its latitude/longitude parts). Medicare Advantage: 16 of 205,454
identifier (spans 2 profile slices — the failing rule is identified by its code set in the drill-down)Practitioner.identifier	error mixed slices	<0.1%n=221,172	1.0×
The practitioner record fails a US Core rule on name/period consistency. Medicare Advantage: 14 of 205,454
identifier (spans 2 profile slices — the failing rule is identified by its code set in the drill-down)Practitioner.identifier	error mixed slices	<0.1%n=221,172	1.0×
The practitioner record fails a US Core naming rule. Medicare Advantage: 8 of 205,454
qualification › extension › extension (spans 3 profile slices — the failing rule is identified by its code set in the drill-down)Practitioner.qualification.extension.extension	error mixed slices	<0.1%n=221,172	1.0×
A required component is missing (for example a geolocation extension without its latitude/longitude parts). Medicare Advantage: 6 of 205,454
qualification › extension › extension (spans 3 profile slices — the failing rule is identified by its code set in the drill-down)Practitioner.qualification.extension.extension	error mixed slices	<0.1%n=221,172	1.0×
An extension carries both a direct value and sub-extensions, which FHIR does not allow. Medicare Advantage: 6 of 205,454

Partial Practitioner required code sets 19.8%n=221,172 43,744 of 221,172 records

A coded field carries a value outside the code set the profile requires for that field. Only codes from that set are valid there.

Rate by source

source / line of business	records affected
Medicare Advantage	21.3%n=205,454
Medicaid	0 of 15,718 records

Which code sets fail

The failing code set names the exact profile rule even where one element row above spans several profile slices.

code set	records affected	by source
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state	19.8%n=221,172	Medicare Advantage: 43,744 of 205,454

Constituent findings

element	severity / requirement	records affected	repeats per record
qualification › extension › extension › value (spans 2 profile slices — the failing rule is identified by its code set in the drill-down)Practitioner.qualification.extension.extension.value[x]	error required element	19.8%n=221,172	1.1×
None of the codes provided are in the code set the profile requires for this field. Medicare Advantage: 43,744 of 205,454

Partial PractitionerRole required code sets 14.7%n=96,027 14,092 of 96,027 records

A coded field carries a value outside the code set the profile requires for that field. Only codes from that set are valid there.

Rate by source

source / line of business	records affected
Medicare Advantage	30.9%n=45,616
Medicaid	<0.1%n=50,411

Which code sets fail

The failing code set names the exact profile rule even where one element row above spans several profile slices.

code set	records affected	by source
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state	14.7%n=96,027	Medicare Advantage: 14,088 of 45,616
http://hl7.org/fhir/us/davinci-pdex-plan-net/ValueSet/IndividualAndGroupSpecialtiesVS	<0.1%n=96,027	Medicaid: 4 of 50,411

Constituent findings

element	severity / requirement	records affected	repeats per record
qualification › whereValid › value (slice identified by its failing code set)PractitionerRole.extension.extension.value[x]	error required element	14.7%n=96,027	501.3×
None of the codes provided are in the code set the profile requires for this field. Medicare Advantage: 14,088 of 45,616
specialtyPractitionerRole.specialty	error must-support	<0.1%n=96,027	1.0×
The code provided is not in the code set the profile requires for this field. Medicaid: 4 of 50,411

Partial PractitionerRole structural conformance 13.6%n=96,027 13,102 of 96,027 records

Rate by source

source / line of business	records affected
Medicare Advantage	28.7%n=45,616
Medicaid	<0.1%n=50,411

Constituent findings

element	severity / requirement	records affected	repeats per record
extension › extension › value › end (inside the profile's extension family — the message text names the failing item)PractitionerRole.extension.extension.value[x].end	warning sub-field of a required element	13.6%n=96,027	1.0×
A date on the record is outside the range of plausible years — typically a placeholder such as 2999-12-31 (“never expires”) or 1753-01-01 (a system-minimum start date). Medicare Advantage: 13,055 of 45,616
the PractitionerRole record as a wholePractitionerRole	error whole record	<0.1%n=96,027	1.0×
The role record has neither its own contact information nor a reference to a location that has it — a consumer cannot contact this provider. Medicare Advantage: 86 of 45,616 Medicaid: 10 of 50,411

Partial Organization structural conformance 7.5%n=1,862,241 140,339 of 1,862,241 records

Rate by source

source / line of business	records affected
Medicare Advantage	9.5%n=218,574
Medicaid	42.5%n=267,236
Other (ODS)	0.4%n=1,376,431

Constituent findings

element	severity / requirement	records affected	repeats per record
the Organization record as a wholeOrganization	error whole record	7.0%n=1,862,241	1.0×
A required component is missing (for example a geolocation extension without its latitude/longitude parts). Medicare Advantage: 10,329 of 218,574 Medicaid: 113,599 of 267,236 Other (ODS): 5,901 of 1,376,431
activeOrganization.active	error required element	0.3%n=1,862,241	1.0×
The record carries a value the profile fixes to something else — for example active = false where the profile fixes active = true, or an inactive qualification status where the profile fixes it active: the publisher ships records it has itself marked inactive. Medicare Advantage: 5,177 of 218,574
addressOrganization.address	error mixed slices	0.3%n=1,862,241	5.7×
The record carries a property that does not exist in FHIR R4 at that position (for example “geolocation” written as a plain property instead of the geolocation extension). Medicare Advantage: 4,908 of 218,574
identifier (spans 4 profile slices — the failing rule is identified by its code set in the drill-down)Organization.identifier	error mixed slices	<0.1%n=1,862,241	1.0×
The organization record fails a US Core rule on name/period consistency. Medicare Advantage: 372 of 218,574
address › textOrganization.address.text	warning mixed slices	<0.1%n=1,862,241	1.1×
A text value starts or ends with stray whitespace (e.g. a name stored with a trailing space). Medicare Advantage: 211 of 218,574 Medicaid: 51 of 267,236 Other (ODS): 5 of 1,376,431
identifier (spans 4 profile slices — the failing rule is identified by its code set in the drill-down)Organization.identifier	error mixed slices	<0.1%n=1,862,241	1.0×
The organization record fails a US Core naming rule (a proper name value is required). Medicare Advantage: 210 of 218,574
address › extension (spans 2 profile slices — the failing rule is identified by its code set in the drill-down)Organization.address.extension	error mixed slices	<0.1%n=1,862,241	4.6×
A required, specifically-typed component is missing from a structure that demands it. Medicare Advantage: 156 of 218,574
address › extension (spans 2 profile slices — the failing rule is identified by its code set in the drill-down)Organization.address.extension	error mixed slices	<0.1%n=1,862,241	1.2×
An extension carries both a direct value and sub-extensions, which FHIR does not allow. Medicare Advantage: 156 of 218,574
address › extension (spans 2 profile slices — the failing rule is identified by its code set in the drill-down)Organization.address.extension	error mixed slices	<0.1%n=1,862,241	1.2×
A required component is missing (for example a geolocation extension without its latitude/longitude parts). Medicare Advantage: 156 of 218,574
nameOrganization.name	warning required element	<0.1%n=1,862,241	1.0×
A text value starts or ends with stray whitespace (e.g. a name stored with a trailing space). Medicaid: 14 of 267,236 Other (ODS): 29 of 1,376,431

Partial Location required code sets 0.3%n=915,339 3,124 of 915,339 records

A coded field carries a value outside the code set the profile requires for that field. Only codes from that set are valid there.

Rate by source

source / line of business	records affected
Medicare Advantage	0 of 605,951 records
Medicaid	1.0%n=309,388

Which code sets fail

The failing code set names the exact profile rule even where one element row above spans several profile slices.

code set	records affected	by source
http://hl7.org/fhir/ValueSet/contact-point-system	0.3%n=915,339	Medicaid: 3,124 of 309,388
value set not named in the message	0.3%n=915,339	Medicaid: 3,124 of 309,388

Constituent findings

element	severity / requirement	records affected	repeats per record
telecom › systemLocation.telecom.system	error must-support	0.3%n=915,339	1.0×
The value could not be matched to any code system for this field. Medicaid: 3,124 of 309,388
telecom › systemLocation.telecom.system	error must-support	0.3%n=915,339	1.0×
The value is not a valid code for this field (for example “website” is not a valid contact-point type). Medicaid: 3,124 of 309,388

Isolated Location structural conformance 0.1%n=915,339 1,330 of 915,339 records

Rate by source

source / line of business	records affected
Medicare Advantage	0.2%n=605,951
Medicaid	0 of 309,388 records

Constituent findings

element	severity / requirement	records affected	repeats per record
address › lineLocation.address.line	warning must-support	0.1%n=915,339	1.0×
A text value starts or ends with stray whitespace (e.g. a name stored with a trailing space). Medicare Advantage: 1,330 of 605,951

Environment & advisory observations (not graded, excluded from all rates above)

These describe the validation environment or the publisher's tooling rather than directory data quality; they are listed so nothing is silently dropped.

Organization advisory practices all 1,862,241 records

Advisory findings from HL7's best-practice checks — here, entirely the absence of a human-readable narrative block. Machine consumers are unaffected.

Rate by source

source / line of business	records affected
Medicare Advantage	all 218,574 records
Medicaid	all 267,236 records
Other (ODS)	all 1,376,431 records

Constituent findings

element	severity / requirement	records affected	repeats per record
the Organization record as a wholeOrganization	warning whole record	all 1,862,241 records	1.0×
The record has no human-readable narrative text. Medicare Advantage: 218,574 of 218,574 Medicaid: 267,236 of 267,236 Other (ODS): 1,376,431 of 1,376,431

Organization publisher infrastructure all 1,862,241 records

The publisher attaches its own internal metadata extension (a record-creation timestamp) to every record without publishing its definition. Harmless to directory use, but it is on 100% of records by construction, which is why it is reported separately instead of inside any quality rate.

Rate by source

source / line of business	records affected
Medicare Advantage	all 218,574 records
Medicaid	all 267,236 records
Other (ODS)	all 1,376,431 records

Extension URLs involved

extension URL	records affected	occurrences
ex:createdAt	all 1,862,241 records	1,862,241

Constituent findings

element	severity / requirement	records affected	repeats per record
meta › extension (inside the profile's extension family — the message text names the failing item)Organization.meta.extension	error sub-field of an optional element	all 1,862,241 records	1.0×
The record carries a custom extension whose definition is not published, so its meaning cannot be verified. Medicare Advantage: 218,574 of 218,574 Medicaid: 267,236 of 267,236 Other (ODS): 1,376,431 of 1,376,431

Organization code-system version stamping all 1,862,241 records

The records mechanically stamp version “4.0.1” — the FHIR specification's own version number — onto every code system they cite (provider taxonomies, organization types, …). The codes themselves may be fine, but they claim a version that does not exist, so version-aware consumers cannot validate them. One mechanical publishing defect, repeated on nearly every record.

Rate by source

source / line of business	records affected
Medicare Advantage	all 218,574 records
Medicaid	all 267,236 records
Other (ODS)	all 1,376,431 records

Constituent findings

element	severity / requirement	records affected	repeats per record
type › coding › systemOrganization.type.coding.system	warning sub-field of a required element	all 1,862,241 records	1.2×
The record claims version “4.0.1” of a known code system; that version does not exist, so the code could not be checked at the claimed version. Medicare Advantage: 218,574 of 218,574 Medicaid: 267,236 of 267,236 Other (ODS): 1,376,431 of 1,376,431
type › coding › versionOrganization.type.coding.version	warning sub-field of a required element	all 1,862,241 records	1.0×
The record stamps a different code-system version than the one the profile's value set is defined against. Medicare Advantage: 218,574 of 218,574 Medicaid: 267,236 of 267,236 Other (ODS): 1,376,431 of 1,376,431
identifier › type › coding › codeOrganization.identifier.type.coding.code	error sub-field of a must-support element	0.4%n=1,862,241	1.0×
The code is not present in the code-system version the record claims. Medicare Advantage: 712 of 218,574 Medicaid: 1,040 of 267,236 Other (ODS): 5,902 of 1,376,431

Location advisory practices all 915,339 records

Advisory findings from HL7's best-practice checks — here, entirely the absence of a human-readable narrative block. Machine consumers are unaffected.

Rate by source

source / line of business	records affected
Medicare Advantage	all 605,951 records
Medicaid	all 309,388 records

Constituent findings

element	severity / requirement	records affected	repeats per record
the Location record as a wholeLocation	warning whole record	all 915,339 records	1.0×
The record has no human-readable narrative text. Medicare Advantage: 605,951 of 605,951 Medicaid: 309,388 of 309,388

Location publisher infrastructure all 915,339 records

Rate by source

source / line of business	records affected
Medicare Advantage	all 605,951 records
Medicaid	all 309,388 records

Extension URLs involved

extension URL	records affected	occurrences
ex:createdAt	all 915,339 records	915,339

Constituent findings

element	severity / requirement	records affected	repeats per record
meta › extension (inside the profile's extension family — the message text names the failing item)Location.meta.extension	error sub-field of an optional element	all 915,339 records	1.0×
The record carries a custom extension whose definition is not published, so its meaning cannot be verified. Medicare Advantage: 605,951 of 605,951 Medicaid: 309,388 of 309,388

Practitioner advisory practices all 221,172 records

Advisory findings from HL7's best-practice checks — here, entirely the absence of a human-readable narrative block. Machine consumers are unaffected.

Rate by source

source / line of business	records affected
Medicare Advantage	all 205,454 records
Medicaid	all 15,718 records

Constituent findings

element	severity / requirement	records affected	repeats per record
the Practitioner record as a wholePractitioner	warning whole record	all 221,172 records	1.0×
The record has no human-readable narrative text. Medicare Advantage: 205,454 of 205,454 Medicaid: 15,718 of 15,718

Practitioner publisher infrastructure all 221,172 records

Rate by source

source / line of business	records affected
Medicare Advantage	all 205,454 records
Medicaid	all 15,718 records

Extension URLs involved

extension URL	records affected	occurrences
ex:createdAt	all 221,172 records	221,172

Constituent findings

element	severity / requirement	records affected	repeats per record
meta › extension (inside the profile's extension family — the message text names the failing item)Practitioner.meta.extension	error sub-field of an optional element	all 221,172 records	1.0×
The record carries a custom extension whose definition is not published, so its meaning cannot be verified. Medicare Advantage: 205,454 of 205,454 Medicaid: 15,718 of 15,718

Practitioner uncheckable codes all 221,172 records

The code system named by the record is not part of the loaded validation packages, so the code could not be checked. A limitation of the validation environment, not evidence the code is wrong.

Rate by source

source / line of business	records affected
Medicare Advantage	all 205,454 records
Medicaid	all 15,718 records

Constituent findings

element	severity / requirement	records affected	repeats per record
identifier › type › coding › systemPractitioner.identifier.type.coding.system	warning sub-field of a must-support element	all 221,172 records	1.0×
The code system named by the record is not in the loaded validation packages, so the code could not be checked. Medicare Advantage: 205,454 of 205,454 Medicaid: 15,718 of 15,718
communication › coding › systemPractitioner.communication.coding.system	warning sub-field of an optional element	4.4%n=221,172	1.0×
The code system named by the record is not in the loaded validation packages, so the code could not be checked. Medicare Advantage: 9,680 of 205,454

PractitionerRole advisory practices all 96,027 records

Advisory findings from HL7's best-practice checks — here, entirely the absence of a human-readable narrative block. Machine consumers are unaffected.

Rate by source

source / line of business	records affected
Medicare Advantage	all 45,616 records
Medicaid	all 50,411 records

Constituent findings

element	severity / requirement	records affected	repeats per record
the PractitionerRole record as a wholePractitionerRole	warning whole record	all 96,027 records	1.0×
The record has no human-readable narrative text. Medicare Advantage: 45,616 of 45,616 Medicaid: 50,411 of 50,411

PractitionerRole publisher infrastructure all 96,027 records

Rate by source

source / line of business	records affected
Medicare Advantage	all 45,616 records
Medicaid	all 50,411 records

Extension URLs involved

extension URL	records affected	occurrences
ex:createdAt	all 96,027 records	96,027

Constituent findings

element	severity / requirement	records affected	repeats per record
meta › extension (inside the profile's extension family — the message text names the failing item)PractitionerRole.meta.extension	error sub-field of an optional element	all 96,027 records	1.0×
The record carries a custom extension whose definition is not published, so its meaning cannot be verified. Medicare Advantage: 45,616 of 45,616 Medicaid: 50,411 of 50,411

HealthcareService advisory practices all 38,198 records

Advisory findings from HL7's best-practice checks — here, entirely the absence of a human-readable narrative block. Machine consumers are unaffected.

Rate by source

source / line of business	records affected
Medicare Advantage	all 9,119 records
Medicaid	all 29,079 records

Constituent findings

element	severity / requirement	records affected	repeats per record
the HealthcareService record as a wholeHealthcareService	warning whole record	all 38,198 records	1.0×
The record has no human-readable narrative text. Medicare Advantage: 9,119 of 9,119 Medicaid: 29,079 of 29,079

HealthcareService publisher infrastructure all 38,198 records

Rate by source

source / line of business	records affected
Medicare Advantage	all 9,119 records
Medicaid	all 29,079 records

Extension URLs involved

extension URL	records affected	occurrences
ex:createdAt	all 38,198 records	38,198

Constituent findings

element	severity / requirement	records affected	repeats per record
meta › extension (inside the profile's extension family — the message text names the failing item)HealthcareService.meta.extension	error sub-field of an optional element	all 38,198 records	1.0×
The record carries a custom extension whose definition is not published, so its meaning cannot be verified. Medicare Advantage: 9,119 of 9,119 Medicaid: 29,079 of 29,079

HealthcareService code-system version stamping all 38,198 records

Rate by source

source / line of business	records affected
Medicare Advantage	all 9,119 records
Medicaid	all 29,079 records

Constituent findings

element	severity / requirement	records affected	repeats per record
category › coding › systemHealthcareService.category.coding.system	warning sub-field of a mixed-class element	all 38,198 records	1.0×
The record claims version “4.0.1” of a known code system; that version does not exist, so the code could not be checked at the claimed version. Medicare Advantage: 9,119 of 9,119 Medicaid: 29,079 of 29,079
extension › extension › value › coding › version (inside the profile's extension family — the message text names the failing item)HealthcareService.extension.extension.value[x].coding.version	warning sub-field of a required element	76.1%n=38,198	1.0×
The record stamps a different code-system version than the one the profile's value set is defined against. Medicaid: 29,079 of 29,079
extension › extension › value › coding › system (inside the profile's extension family — the message text names the failing item)HealthcareService.extension.extension.value[x].coding.system	error sub-field of a required element	76.1%n=38,198	1.0×
The record claims version “4.0.1” of a known code system; that version does not exist, so the code could not be checked at the claimed version. Medicaid: 29,079 of 29,079
specialty › coding › systemHealthcareService.specialty.coding.system	warning sub-field of a must-support element	61.1%n=38,198	1.2×
The record claims version “4.0.1” of a code system that has no such version (no version of it is in the validation packages), so the code could not be checked. Medicare Advantage: 4,322 of 9,119 Medicaid: 19,013 of 29,079
extension › extension › value › coding › system (inside the profile's extension family — the message text names the failing item)HealthcareService.extension.extension.value[x].coding.system	warning sub-field of a required element	2.9%n=38,198	1.0×
The record claims version “4.0.1” of a known code system; that version does not exist, so the code could not be checked at the claimed version. Medicaid: 1,098 of 29,079

Network advisory practices all 36 records

Advisory findings from HL7's best-practice checks — here, entirely the absence of a human-readable narrative block. Machine consumers are unaffected.

Rate by source

source / line of business	records affected
Medicare Advantage	all 36 records

Constituent findings

element	severity / requirement	records affected	repeats per record
the Network record as a wholeOrganization	warning whole record	all 36 records	1.0×
The record has no human-readable narrative text. Medicare Advantage: 36 of 36

Network publisher infrastructure all 36 records

Rate by source

source / line of business	records affected
Medicare Advantage	all 36 records

Extension URLs involved

extension URL	records affected	occurrences
ex:createdAt	all 36 records	36

Constituent findings

element	severity / requirement	records affected	repeats per record
meta › extension (inside the profile's extension family — the message text names the failing item)Organization.meta.extension	error sub-field of an optional element	all 36 records	1.0×
The record carries a custom extension whose definition is not published, so its meaning cannot be verified. Medicare Advantage: 36 of 36

Network code-system version stamping all 36 records

Rate by source

source / line of business	records affected
Medicare Advantage	all 36 records

Constituent findings

element	severity / requirement	records affected	repeats per record
type › coding › versionOrganization.type.coding.version	warning sub-field of a required element	all 36 records	1.0×
The record stamps a different code-system version than the one the profile's value set is defined against. Medicare Advantage: 36 of 36
type › coding › systemOrganization.type.coding.system	error sub-field of a required element	all 36 records	1.0×
The record claims version “4.0.1” of a known code system; that version does not exist, so the code could not be checked at the claimed version. Medicare Advantage: 36 of 36

InsurancePlan advisory practices 1 of 1 records

Advisory findings from HL7's best-practice checks — here, entirely the absence of a human-readable narrative block. Machine consumers are unaffected.

Rate by source

source / line of business	records affected
Medicare Advantage	1 of 1 records

Constituent findings

element	severity / requirement	records affected	repeats per record
the InsurancePlan record as a wholeInsurancePlan	warning whole record	1 of 1 records	1.0×
The record has no human-readable narrative text. Medicare Advantage: 1 of 1

InsurancePlan publisher infrastructure 1 of 1 records

Rate by source

source / line of business	records affected
Medicare Advantage	1 of 1 records

Extension URLs involved

extension URL	records affected	occurrences
ex:createdAt	1 of 1 records	1

Constituent findings

element	severity / requirement	records affected	repeats per record
meta › extension (inside the profile's extension family — the message text names the failing item)InsurancePlan.meta.extension	error sub-field of an optional element	1 of 1 records	1.0×
The record carries a custom extension whose definition is not published, so its meaning cannot be verified. Medicare Advantage: 1 of 1

PractitionerRole code-system version stamping 99.2%n=96,027 95,258 of 96,027 records

Rate by source

source / line of business	records affected
Medicare Advantage	all 45,616 records
Medicaid	98.5%n=50,411

Constituent findings

element	severity / requirement	records affected	repeats per record
specialty › coding › systemPractitionerRole.specialty.coding.system	warning sub-field of a must-support element	98.9%n=96,027	1.5×
The record claims version “4.0.1” of a code system that has no such version (no version of it is in the validation packages), so the code could not be checked. Medicare Advantage: 45,616 of 45,616 Medicaid: 49,357 of 50,411
extension › extension › value › coding › version (inside the profile's extension family — the message text names the failing item)PractitionerRole.extension.extension.value[x].coding.version	warning sub-field of a required element	30.6%n=96,027	8.6×
The record stamps a different code-system version than the one the profile's value set is defined against. Medicare Advantage: 29,350 of 45,616
extension › extension › value › coding › system (inside the profile's extension family — the message text names the failing item)PractitionerRole.extension.extension.value[x].coding.system	error sub-field of a required element	30.6%n=96,027	8.6×
The record claims version “4.0.1” of a known code system; that version does not exist, so the code could not be checked at the claimed version. Medicare Advantage: 29,350 of 45,616
code › coding › versionPractitionerRole.code.coding.version	warning sub-field of a must-support element	19.6%n=96,027	1.0×
The record stamps a different code-system version than the one the profile's value set is defined against. Medicaid: 18,862 of 50,411
code › coding › systemPractitionerRole.code.coding.system	error sub-field of a must-support element	19.6%n=96,027	1.0×
The record claims version “4.0.1” of a known code system; that version does not exist, so the code could not be checked at the claimed version. Medicaid: 18,819 of 50,411
extension › extension › value › coding › system (inside the profile's extension family — the message text names the failing item)PractitionerRole.extension.extension.value[x].coding.system	warning sub-field of a required element	14.7%n=96,027	501.3×
The record claims version “4.0.1” of a code system that has no such version (no version of it is in the validation packages), so the code could not be checked. Medicare Advantage: 14,088 of 45,616

Organization uncheckable codes 95.3%n=1,862,241 1,774,701 of 1,862,241 records

The code system named by the record is not part of the loaded validation packages, so the code could not be checked. A limitation of the validation environment, not evidence the code is wrong.

Rate by source

source / line of business	records affected
Medicare Advantage	76.5%n=218,574
Medicaid	88.7%n=267,236
Other (ODS)	99.6%n=1,376,431

Constituent findings

element	severity / requirement	records affected	repeats per record
identifier › type › coding › systemOrganization.identifier.type.coding.system	warning sub-field of a must-support element	95.3%n=1,862,241	1.0×
The code system named by the record is not in the loaded validation packages, so the code could not be checked. Medicare Advantage: 167,175 of 218,574 Medicaid: 236,997 of 267,236 Other (ODS): 1,370,529 of 1,376,431

Practitioner code-system version stamping 50.6%n=221,172 111,936 of 221,172 records

Rate by source

source / line of business	records affected
Medicare Advantage	46.8%n=205,454
Medicaid	>99.9%n=15,718

Constituent findings

element	severity / requirement	records affected	repeats per record
qualification › code › coding › systemPractitioner.qualification.code.coding.system	warning sub-field of a required element	48.9%n=221,172	1.4×
The record claims version “4.0.1” of a code system that has no such version (no version of it is in the validation packages), so the code could not be checked. Medicare Advantage: 95,352 of 205,454 Medicaid: 12,889 of 15,718
qualification › extension › extension › value › coding › system (inside the profile's extension family — the message text names the failing item)Practitioner.qualification.extension.extension.value[x].coding.system	warning sub-field of a required element	19.8%n=221,172	1.1×
The record claims version “4.0.1” of a code system that has no such version (no version of it is in the validation packages), so the code could not be checked. Medicare Advantage: 43,744 of 205,454
communication › coding › codePractitioner.communication.coding.code	error sub-field of an optional element	7.0%n=221,172	1.0×
The code is not present in the code-system version the record claims. Medicaid: 15,583 of 15,718
communication › coding › systemPractitioner.communication.coding.system	warning sub-field of an optional element	6.1%n=221,172	1.3×
The record claims version “4.0.1” of a known code system; that version does not exist, so the code could not be checked at the claimed version. Medicare Advantage: 13,590 of 205,454 Medicaid: 2 of 15,718
communication › coding › versionPractitioner.communication.coding.version	warning sub-field of an optional element	1.8%n=221,172	1.0×
The record stamps a different code-system version than the one the profile's value set is defined against. Medicare Advantage: 3,910 of 205,454 Medicaid: 2 of 15,718

Network validator limitation 22.2%n=36 8 of 36 records

The validator's own machinery failed (pattern-check timeouts). These are not data defects and are excluded from every data-quality rate; they are counted here for completeness.

Rate by source

source / line of business	records affected
Medicare Advantage	22.2%n=36

Constituent findings

element	severity / requirement	records affected	repeats per record
address › extension › extension › value (inside the profile's extension family — the message text names the failing item)Organization.address.extension.extension.value[x]	error sub-field of a mixed-class element	8.3%n=36	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 3 of 36
address › lineOrganization.address.line	error must-support	5.6%n=36	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 2 of 36
address › cityOrganization.address.city	error must-support	5.6%n=36	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 2 of 36
address › extension › url (inside the profile's extension family — the message text names the failing item)Organization.address.extension.url	error sub-field of a mixed-class element	5.6%n=36	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 2 of 36
address › stateOrganization.address.state	error must-support	2.8%n=36	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 1 of 36
address › extension › extension › url (inside the profile's extension family — the message text names the failing item)Organization.address.extension.extension.url	error sub-field of a mixed-class element	2.8%n=36	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 1 of 36
address › countryOrganization.address.country	error must-support	2.8%n=36	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 1 of 36
address › textOrganization.address.text	error mixed slices	2.8%n=36	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 1 of 36
address › typeOrganization.address.type	error mixed slices	2.8%n=36	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 1 of 36

PractitionerRole uncheckable codes 16.9%n=96,027 16,261 of 96,027 records

The code system named by the record is not part of the loaded validation packages, so the code could not be checked. A limitation of the validation environment, not evidence the code is wrong.

Rate by source

source / line of business	records affected
Medicare Advantage	35.6%n=45,616
Medicaid	0 of 50,411 records

Constituent findings

element	severity / requirement	records affected	repeats per record
extension › extension › value › coding › system (inside the profile's extension family — the message text names the failing item)PractitionerRole.extension.extension.value[x].coding.system	warning sub-field of a required element	16.9%n=96,027	1.0×
The code system named by the record is not in the loaded validation packages, so the code could not be checked. Medicare Advantage: 16,261 of 45,616

PractitionerRole validator limitation 3.5%n=96,027 3,358 of 96,027 records

The validator's own machinery failed (pattern-check timeouts). These are not data defects and are excluded from every data-quality rate; they are counted here for completeness.

Rate by source

source / line of business	records affected
Medicare Advantage	7.3%n=45,616
Medicaid	<0.1%n=50,411

Constituent findings

element	severity / requirement	records affected	repeats per record
extension › extension › value › coding › code (inside the profile's extension family — the message text names the failing item)PractitionerRole.extension.extension.value[x].coding.code	error sub-field of a required element	1.3%n=96,027	1.3×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 1,247 of 45,616
extension › extension › value › coding › display (inside the profile's extension family — the message text names the failing item)PractitionerRole.extension.extension.value[x].coding.display	error sub-field of a required element	1.3%n=96,027	1.2×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 1,237 of 45,616
extension › extension › value › coding › version (inside the profile's extension family — the message text names the failing item)PractitionerRole.extension.extension.value[x].coding.version	error sub-field of a required element	0.9%n=96,027	1.1×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 826 of 45,616
extension › extension › url (spans 6 profile slices — the failing rule is identified by its code set in the drill-down)PractitionerRole.extension.extension.url	error required element	0.3%n=96,027	1.2×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 304 of 45,616
extension › extension › value › coding › system (inside the profile's extension family — the message text names the failing item)PractitionerRole.extension.extension.value[x].coding.system	error sub-field of a required element	0.2%n=96,027	1.4×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 156 of 45,616
qualification › urlPractitionerRole.extension.url	error required element	<0.1%n=96,027	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 84 of 45,616
extension › extension › value › reference (inside the profile's extension family — the message text names the failing item)PractitionerRole.extension.extension.value[x].reference	error sub-field of a required element	<0.1%n=96,027	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 32 of 45,616
telecom › valuePractitionerRole.telecom.value	error required element	<0.1%n=96,027	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 30 of 45,616 Medicaid: 1 of 50,411
specialty › coding › codePractitionerRole.specialty.coding.code	error sub-field of a must-support element	<0.1%n=96,027	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 17 of 45,616 Medicaid: 4 of 50,411
specialty › coding › displayPractitionerRole.specialty.coding.display	error sub-field of a must-support element	<0.1%n=96,027	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 16 of 45,616 Medicaid: 1 of 50,411
meta › profilePractitionerRole.meta.profile	error sub-field of an optional element	<0.1%n=96,027	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 13 of 45,616 Medicaid: 4 of 50,411
specialty › coding › versionPractitionerRole.specialty.coding.version	error sub-field of a must-support element	<0.1%n=96,027	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 12 of 45,616
specialty › textPractitionerRole.specialty.text	error sub-field of a must-support element	<0.1%n=96,027	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 7 of 45,616 Medicaid: 3 of 50,411
telecom › systemPractitionerRole.telecom.system	error required element	<0.1%n=96,027	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 8 of 45,616 Medicaid: 1 of 50,411
location › referencePractitionerRole.location.reference	error sub-field of a must-support element	<0.1%n=96,027	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 8 of 45,616 Medicaid: 1 of 50,411
period › startPractitionerRole.period.start	error sub-field of a must-support element	<0.1%n=96,027	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 5 of 45,616 Medicaid: 4 of 50,411
location › typePractitionerRole.location.type	error sub-field of a must-support element	<0.1%n=96,027	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 4 of 45,616 Medicaid: 1 of 50,411
meta › sourcePractitionerRole.meta.source	error sub-field of an optional element	<0.1%n=96,027	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 3 of 45,616 Medicaid: 1 of 50,411
activePractitionerRole.active	error required element	<0.1%n=96,027	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 4 of 45,616
extension › extension › value › start (inside the profile's extension family — the message text names the failing item)PractitionerRole.extension.extension.value[x].start	error sub-field of a required element	<0.1%n=96,027	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 4 of 45,616

13 smaller findings in this cell are in the accompanying dataset.

Location code-system version stamping 2.5%n=915,339 23,285 of 915,339 records

Rate by source

source / line of business	records affected
Medicare Advantage	1.4%n=605,951
Medicaid	4.7%n=309,388

Constituent findings

element	severity / requirement	records affected	repeats per record
extension › extension › value › coding › system (inside the profile's extension family — the message text names the failing item)Location.extension.extension.value[x].coding.system	error sub-field of a required element	1.6%n=915,339	1.0×
The record claims version “4.0.1” of a known code system; that version does not exist, so the code could not be checked at the claimed version. Medicaid: 14,531 of 309,388
extension › extension › value › coding › version (inside the profile's extension family — the message text names the failing item)Location.extension.extension.value[x].coding.version	warning sub-field of a required element	1.6%n=915,339	1.0×
The record stamps a different code-system version than the one the profile's value set is defined against. Medicaid: 14,531 of 309,388
type › coding › versionLocation.type.coding.version	warning sub-field of a must-support element	1.0%n=915,339	3.0×
The record stamps a different code-system version than the one the profile's value set is defined against. Medicare Advantage: 8,754 of 605,951
type › coding › systemLocation.type.coding.system	warning sub-field of a must-support element	1.0%n=915,339	1.0×
The record claims version “4.0.1” of a known code system; that version does not exist, so the code could not be checked at the claimed version. Medicare Advantage: 8,754 of 605,951
extension › value › coding › system (inside the profile's extension family — the message text names the failing item)Location.extension.value[x].coding.system	warning sub-field of a mixed-class element	0.2%n=915,339	4.8×
The record claims version “4.0.1” of a known code system; that version does not exist, so the code could not be checked at the claimed version. Medicaid: 1,869 of 309,388
extension › value › coding › version (inside the profile's extension family — the message text names the failing item)Location.extension.value[x].coding.version	warning sub-field of a mixed-class element	0.2%n=915,339	4.8×
The record stamps a different code-system version than the one the profile's value set is defined against. Medicaid: 1,869 of 309,388

Organization validator limitation <0.1%n=1,862,241 166 of 1,862,241 records

The validator's own machinery failed (pattern-check timeouts). These are not data defects and are excluded from every data-quality rate; they are counted here for completeness.

Rate by source

source / line of business	records affected
Medicare Advantage	<0.1%n=218,574
Medicaid	<0.1%n=267,236
Other (ODS)	<0.1%n=1,376,431

Constituent findings

element	severity / requirement	records affected	repeats per record
address › lineOrganization.address.line	error must-support	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 11 of 218,574 Medicaid: 5 of 267,236 Other (ODS): 9 of 1,376,431
identifier › type › coding › codeOrganization.identifier.type.coding.code	error sub-field of a must-support element	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 2 of 218,574 Medicaid: 4 of 267,236 Other (ODS): 14 of 1,376,431
address › postalCodeOrganization.address.postalCode	error must-support	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 8 of 218,574 Other (ODS): 5 of 1,376,431
telecom › valueOrganization.telecom.value	error must-support	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 8 of 218,574 Medicaid: 2 of 267,236 Other (ODS): 2 of 1,376,431
address › extension › extension › value (inside the profile's extension family — the message text names the failing item)Organization.address.extension.extension.value[x]	error sub-field of a mixed-class element	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 11 of 218,574
identifier › valueOrganization.identifier.value	error must-support	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 2 of 218,574 Medicaid: 2 of 267,236 Other (ODS): 6 of 1,376,431
address › stateOrganization.address.state	error must-support	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 3 of 218,574 Medicaid: 3 of 267,236 Other (ODS): 4 of 1,376,431
address › cityOrganization.address.city	error must-support	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 5 of 218,574 Other (ODS): 4 of 1,376,431
address › countryOrganization.address.country	error must-support	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 6 of 218,574 Other (ODS): 3 of 1,376,431
type › coding › displayOrganization.type.coding.display	error sub-field of a required element	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 3 of 218,574 Other (ODS): 4 of 1,376,431
address › textOrganization.address.text	error mixed slices	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 1 of 218,574 Medicaid: 2 of 267,236 Other (ODS): 3 of 1,376,431
meta › profileOrganization.meta.profile	error sub-field of an optional element	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 1 of 218,574 Medicaid: 1 of 267,236 Other (ODS): 4 of 1,376,431
type › coding › codeOrganization.type.coding.code	error sub-field of a required element	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 2 of 218,574 Medicaid: 1 of 267,236 Other (ODS): 2 of 1,376,431
address › useOrganization.address.use	error optional element	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Other (ODS): 4 of 1,376,431
address › typeOrganization.address.type	error mixed slices	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 1 of 218,574 Other (ODS): 3 of 1,376,431
identifier › systemOrganization.identifier.system	error must-support	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Medicaid: 2 of 267,236 Other (ODS): 2 of 1,376,431
telecom › systemOrganization.telecom.system	error must-support	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Other (ODS): 3 of 1,376,431
meta › extension › url (inside the profile's extension family — the message text names the failing item)Organization.meta.extension.url	error sub-field of an optional element	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Medicaid: 1 of 267,236 Other (ODS): 1 of 1,376,431
identifier › type › coding › systemOrganization.identifier.type.coding.system	error sub-field of a must-support element	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Other (ODS): 2 of 1,376,431
telecom › useOrganization.telecom.use	error optional element	<0.1%n=1,862,241	1.0×
The validator's own pattern check timed out. Not a data defect. Medicaid: 1 of 267,236

3 smaller findings in this cell are in the accompanying dataset.

Practitioner validator limitation <0.1%n=221,172 1 of 221,172 records

The validator's own machinery failed (pattern-check timeouts). These are not data defects and are excluded from every data-quality rate; they are counted here for completeness.

Rate by source

source / line of business	records affected
Medicare Advantage	<0.1%n=205,454
Medicaid	0 of 15,718 records

Constituent findings

element	severity / requirement	records affected	repeats per record
address › period › startPractitioner.address.period.start	error sub-field of an optional element	<0.1%n=221,172	1.0×
The validator's own pattern check timed out. Not a data defect. Medicare Advantage: 1 of 205,454

C. Completeness — are the promised elements populated?

a validator cannot see an element that is simply absent; this section comes from a separate element-population audit of the same capture

In plain terms: a validator can only judge what is present — it says nothing about an element that is simply missing. This section closes that blind spot: for every element the profiles require or mark must-support, the audit counts how many records of that type actually populate it, per line of business. Shown below: every such element populated on fewer than 95% of records anywhere. The element-population audit ran over the same capture, per source.

HealthcareService 41 required / must-support elements populated on fewer than 95% of records

element	requirement	populated, by source
appointmentRequiredHealthcareService.appointmentRequired	must-support	Medicare Advantage: 0 of 9,119 records Medicaid: 0 of 29,079 records
availabilityExceptionsHealthcareService.availabilityExceptions	must-support	Medicare Advantage: 0 of 9,119 records Medicaid: 0 of 29,079 records
availableTimeHealthcareService.availableTime	must-support	Medicare Advantage: 0 of 9,119 records Medicaid: 0 of 29,079 records
availableTime › allDayHealthcareService.availableTime.allDay	must-support	Medicare Advantage: 0 of 9,119 records Medicaid: 0 of 29,079 records
availableTime › availableEndTimeHealthcareService.availableTime.availableEndTime	must-support	Medicare Advantage: 0 of 9,119 records Medicaid: 0 of 29,079 records
availableTime › availableStartTimeHealthcareService.availableTime.availableStartTime	must-support	Medicare Advantage: 0 of 9,119 records Medicaid: 0 of 29,079 records
availableTime › daysOfWeekHealthcareService.availableTime.daysOfWeek	must-support	Medicare Advantage: 0 of 9,119 records Medicaid: 0 of 29,079 records
commentHealthcareService.comment	must-support	Medicare Advantage: 0 of 9,119 records Medicaid: 0 of 29,079 records
coverageAreaHealthcareService.coverageArea	must-support	Medicare Advantage: 0 of 9,119 records Medicaid: 0 of 29,079 records
endpointHealthcareService.endpoint	must-support	Medicare Advantage: 0 of 9,119 records Medicaid: 0 of 29,079 records
deliverymethodHealthcareService.extension:deliverymethod	must-support	Medicare Advantage: 0 of 9,119 records Medicaid: 3.8%n=29,079
deliverymethod › typeHealthcareService.extension:deliverymethod.extension:type	required element	Medicare Advantage: 0 of 9,119 records Medicaid: 3.8%n=29,079
deliverymethod › type › valueHealthcareService.extension:deliverymethod.extension:type.value[x]	required element	Medicare Advantage: 0 of 9,119 records Medicaid: 3.8%n=29,079
deliverymethod › virtualModalitiesHealthcareService.extension:deliverymethod.extension:virtualModalities	must-support	Medicare Advantage: 0 of 9,119 records Medicaid: 3.8%n=29,079
deliverymethod › virtualModalities › valueHealthcareService.extension:deliverymethod.extension:virtualModalities.value[x]	required element	Medicare Advantage: 0 of 9,119 records Medicaid: 3.8%n=29,079

26 further under-populated elements in the dataset.

InsurancePlan 15 required / must-support elements populated on fewer than 95% of records

element	requirement	populated, by source
aliasInsurancePlan.alias	must-support	Medicare Advantage: 0 of 1 records
coverage › benefitInsurancePlan.coverage.benefit	required element	Medicare Advantage: 0 of 1 records
coverage › benefit › typeInsurancePlan.coverage.benefit.type	required element	Medicare Advantage: 0 of 1 records
coverage › typeInsurancePlan.coverage.type	required element	Medicare Advantage: 0 of 1 records
coverageAreaInsurancePlan.coverageArea	must-support	Medicare Advantage: 0 of 1 records
endpointInsurancePlan.endpoint	must-support	Medicare Advantage: 0 of 1 records
identifier › typeInsurancePlan.identifier.type	must-support	Medicare Advantage: 0 of 1 records
nameInsurancePlan.name	must-support	Medicare Advantage: 0 of 1 records
networkInsurancePlan.network	must-support	Medicare Advantage: 0 of 1 records
periodInsurancePlan.period	must-support	Medicare Advantage: 0 of 1 records
plan › coverageAreaInsurancePlan.plan.coverageArea	must-support	Medicare Advantage: 0 of 1 records
plan › specificCost › benefit › cost › typeInsurancePlan.plan.specificCost.benefit.cost.type	required element	Medicare Advantage: 0 of 1 records
plan › specificCost › benefit › typeInsurancePlan.plan.specificCost.benefit.type	required element	Medicare Advantage: 0 of 1 records
plan › specificCost › categoryInsurancePlan.plan.specificCost.category	required element	Medicare Advantage: 0 of 1 records
plan › typeInsurancePlan.plan.type	must-support	Medicare Advantage: 0 of 1 records

Location 36 required / must-support elements populated on fewer than 95% of records

element	requirement	populated, by source
aliasLocation.alias	must-support	Medicare Advantage: 0 of 605,951 records Medicaid: 0 of 309,388 records
availabilityExceptionsLocation.availabilityExceptions	must-support	Medicare Advantage: 0 of 605,951 records Medicaid: 0 of 309,388 records
descriptionLocation.description	must-support	Medicare Advantage: 0 of 605,951 records Medicaid: 0 of 309,388 records
endpointLocation.endpoint	must-support	Medicare Advantage: 0 of 605,951 records Medicaid: 0 of 309,388 records
accessibilityLocation.extension:accessibility	must-support	Medicare Advantage: 0 of 605,951 records Medicaid: 0.6%n=309,388
accessibility › valueLocation.extension:accessibility.value[x]	required element	Medicare Advantage: 0 of 605,951 records Medicaid: 0.6%n=309,388
newpatientsLocation.extension:newpatients	must-support	Medicare Advantage: 0 of 605,951 records Medicaid: 4.7%n=309,388
newpatients › acceptingPatientsLocation.extension:newpatients.extension:acceptingPatients	required element	Medicare Advantage: 0 of 605,951 records Medicaid: 4.7%n=309,388
newpatients › acceptingPatients › valueLocation.extension:newpatients.extension:acceptingPatients.value[x]	required element	Medicare Advantage: 0 of 605,951 records Medicaid: 4.7%n=309,388
newpatients › characteristicsLocation.extension:newpatients.extension:characteristics	must-support	Medicare Advantage: 0 of 605,951 records Medicaid: 0 of 309,388 records
newpatients › characteristics › valueLocation.extension:newpatients.extension:characteristics.value[x]	required element	Medicare Advantage: 0 of 605,951 records Medicaid: 0 of 309,388 records
newpatients › fromNetworkLocation.extension:newpatients.extension:fromNetwork	must-support	Medicare Advantage: 0 of 605,951 records Medicaid: 0 of 309,388 records
newpatients › fromNetwork › valueLocation.extension:newpatients.extension:fromNetwork.value[x]	required element	Medicare Advantage: 0 of 605,951 records Medicaid: 0 of 309,388 records
regionLocation.extension:region	must-support	Medicare Advantage: 0 of 605,951 records Medicaid: 0 of 309,388 records
hoursOfOperationLocation.hoursOfOperation	must-support	Medicare Advantage: 0 of 605,951 records Medicaid: 0 of 309,388 records

21 further under-populated elements in the dataset.

Organization 56 required / must-support elements populated on fewer than 95% of records

element	requirement	populated, by source
address › geolocationOrganization.address.extension:geolocation	must-support	Medicare Advantage: 22.8%n=218,574 Medicaid: 0 of 267,236 records Other (ODS): 0 of 1,376,431 records
contactOrganization.contact	must-support	Medicare Advantage: 0 of 218,574 records Medicaid: 0 of 267,236 records Other (ODS): 0 of 1,376,431 records
contact › nameOrganization.contact.name	must-support	Medicare Advantage: 0 of 36 records Medicaid: no signal, n=0 Other (ODS): no signal, n=0
contact › telecomOrganization.contact.telecom	must-support	Medicare Advantage: 0 of 218,574 records Medicaid: 0 of 267,236 records Other (ODS): 0 of 1,376,431 records
contact › telecom › contactpoint-availabletime › allDayOrganization.contact.telecom.extension:contactpoint-availabletime.extension:allDay	must-support	Medicare Advantage: 0 of 218,574 records Medicaid: 0 of 267,236 records Other (ODS): 0 of 1,376,431 records
contact › telecom › contactpoint-availabletime › availableEndTimeOrganization.contact.telecom.extension:contactpoint-availabletime.extension:availableEndTime	must-support	Medicare Advantage: 0 of 218,574 records Medicaid: 0 of 267,236 records Other (ODS): 0 of 1,376,431 records
contact › telecom › contactpoint-availabletime › availableStartTimeOrganization.contact.telecom.extension:contactpoint-availabletime.extension:availableStartTime	must-support	Medicare Advantage: 0 of 218,574 records Medicaid: 0 of 267,236 records Other (ODS): 0 of 1,376,431 records
contact › telecom › contactpoint-availabletime › daysOfWeekOrganization.contact.telecom.extension:contactpoint-availabletime.extension:daysOfWeek	must-support	Medicare Advantage: 0 of 218,574 records Medicaid: 0 of 267,236 records Other (ODS): 0 of 1,376,431 records
contact › telecom › via-intermediary › valueOrganization.contact.telecom.extension:via-intermediary.value[x]	required element	Medicare Advantage: 0 of 218,574 records Medicaid: 0 of 267,236 records Other (ODS): 0 of 1,376,431 records
contact › telecom › systemOrganization.contact.telecom.system	must-support	Medicare Advantage: 0 of 218,574 records Medicaid: 0 of 267,236 records Other (ODS): 0 of 1,376,431 records
contact › telecom › useOrganization.contact.telecom.use	must-support	Medicare Advantage: 0 of 218,574 records Medicaid: 0 of 267,236 records Other (ODS): 0 of 1,376,431 records
contact › telecom › valueOrganization.contact.telecom.value	must-support	Medicare Advantage: 0 of 218,574 records Medicaid: 0 of 267,236 records Other (ODS): 0 of 1,376,431 records
endpointOrganization.endpoint	must-support	Medicare Advantage: 0 of 218,574 records Medicaid: 0 of 267,236 records Other (ODS): 0 of 1,376,431 records
location-referenceOrganization.extension:location-reference	must-support	Medicare Advantage: 0 of 36 records Medicaid: no signal, n=0 Other (ODS): no signal, n=0
location-reference › valueOrganization.extension:location-reference.value[x]	required element	Medicare Advantage: 0 of 36 records Medicaid: no signal, n=0 Other (ODS): no signal, n=0

41 further under-populated elements in the dataset.

Practitioner 22 required / must-support elements populated on fewer than 95% of records

element	requirement	populated, by source
address › geolocationPractitioner.address.extension:geolocation	must-support	Medicare Advantage: 0 of 205,454 records Medicaid: 0 of 15,718 records
communication › communication-proficiencyPractitioner.communication.extension:communication-proficiency	must-support	Medicare Advantage: 0 of 205,454 records Medicaid: 0 of 15,718 records
communication › communication-proficiency › valuePractitioner.communication.extension:communication-proficiency.value[x]	required element	Medicare Advantage: 0 of 205,454 records Medicaid: 0 of 15,718 records
qualification › practitioner-qualification › whereValidPractitioner.qualification.extension:practitioner-qualification.extension:whereValid	must-support	Medicare Advantage: 21.3%n=205,454 Medicaid: 0 of 15,718 records
qualification › practitioner-qualification › whereValid › valuePractitioner.qualification.extension:practitioner-qualification.extension:whereValid.value[x]	required element	Medicare Advantage: 21.3%n=205,454 Medicaid: 0 of 15,718 records
qualification › identifierPractitioner.qualification.identifier	must-support	Medicare Advantage: 0 of 205,454 records Medicaid: 0 of 15,718 records
qualification › issuerPractitioner.qualification.issuer	must-support	Medicare Advantage: 44.9%n=205,454 Medicaid: 0 of 15,718 records
qualification › periodPractitioner.qualification.period	must-support	Medicare Advantage: 42.9%n=205,454 Medicaid: 0 of 15,718 records
telecom › contactpoint-availabletime › allDayPractitioner.telecom.extension:contactpoint-availabletime.extension:allDay	must-support	Medicare Advantage: 0 of 205,454 records Medicaid: 0 of 15,718 records
telecom › contactpoint-availabletime › availableEndTimePractitioner.telecom.extension:contactpoint-availabletime.extension:availableEndTime	must-support	Medicare Advantage: 0 of 205,454 records Medicaid: 0 of 15,718 records
telecom › contactpoint-availabletime › availableStartTimePractitioner.telecom.extension:contactpoint-availabletime.extension:availableStartTime	must-support	Medicare Advantage: 0 of 205,454 records Medicaid: 0 of 15,718 records
telecom › contactpoint-availabletime › daysOfWeekPractitioner.telecom.extension:contactpoint-availabletime.extension:daysOfWeek	must-support	Medicare Advantage: 0 of 205,454 records Medicaid: 0 of 15,718 records
telecom › via-intermediary › valuePractitioner.telecom.extension:via-intermediary.value[x]	required element	Medicare Advantage: 0 of 205,454 records Medicaid: 0 of 15,718 records
communicationPractitioner.communication	must-support	Medicare Advantage: 6.6%n=205,454 Medicaid: 99.2%n=15,718
qualification › practitioner-qualificationPractitioner.qualification.extension:practitioner-qualification	must-support	Medicare Advantage: 23.2%n=205,454 Medicaid: 82.0%n=15,718

7 further under-populated elements in the dataset.

PractitionerRole 51 required / must-support elements populated on fewer than 95% of records

element	requirement	populated, by source
availableTimePractitionerRole.availableTime	must-support	Medicare Advantage: 0 of 45,616 records Medicaid: 0 of 50,411 records
availableTime › allDayPractitionerRole.availableTime.allDay	must-support	Medicare Advantage: 0 of 45,616 records Medicaid: 0 of 50,411 records
availableTime › availableEndTimePractitionerRole.availableTime.availableEndTime	must-support	Medicare Advantage: 0 of 45,616 records Medicaid: 0 of 50,411 records
availableTime › availableStartTimePractitionerRole.availableTime.availableStartTime	must-support	Medicare Advantage: 0 of 45,616 records Medicaid: 0 of 50,411 records
availableTime › daysOfWeekPractitionerRole.availableTime.daysOfWeek	must-support	Medicare Advantage: 0 of 45,616 records Medicaid: 0 of 50,411 records
codePractitionerRole.code	must-support	Medicare Advantage: 0 of 45,616 records Medicaid: 37.4%n=50,411
endpointPractitionerRole.endpoint	must-support	Medicare Advantage: 0 of 45,616 records Medicaid: 0 of 50,411 records
network-referencePractitionerRole.extension:network-reference	must-support	Medicare Advantage: 0 of 45,616 records Medicaid: 0 of 50,411 records
network-reference › valuePractitionerRole.extension:network-reference.value[x]	required element	Medicare Advantage: 0 of 45,616 records Medicaid: 0 of 50,411 records
newpatientsPractitionerRole.extension:newpatients	must-support	Medicare Advantage: 64.3%n=45,616 Medicaid: 0 of 50,411 records
newpatients › acceptingPatientsPractitionerRole.extension:newpatients.extension:acceptingPatients	required element	Medicare Advantage: 64.3%n=45,616 Medicaid: 0 of 50,411 records
newpatients › acceptingPatients › valuePractitionerRole.extension:newpatients.extension:acceptingPatients.value[x]	required element	Medicare Advantage: 64.3%n=45,616 Medicaid: 0 of 50,411 records
newpatients › characteristicsPractitionerRole.extension:newpatients.extension:characteristics	must-support	Medicare Advantage: 0 of 45,616 records Medicaid: 0 of 50,411 records
newpatients › characteristics › valuePractitionerRole.extension:newpatients.extension:characteristics.value[x]	required element	Medicare Advantage: 0 of 45,616 records Medicaid: 0 of 50,411 records
newpatients › fromNetworkPractitionerRole.extension:newpatients.extension:fromNetwork	must-support	Medicare Advantage: 64.3%n=45,616 Medicaid: 0 of 50,411 records

36 further under-populated elements in the dataset.

D. Required vs must-support elements

every element with findings: what the profile expects there, and how many records fall short

In plain terms: this section answers, element by element, “what should be here, and is it?” — the expected value type, how many are allowed (cardinality, e.g. 0..1 = optional single, 1..1 = exactly one required), and the code set the value must come from where one is bound.

required element = the profile demands the element itself (minimum cardinality ≥ 1). must-support = optional (0..1 or 0..*), but a conforming system must be able to populate and consume it. sub-field of a required / must-support / optional element = the message sits on a core-FHIR field inside such an element. Read those rows carefully: a “sub-field of an optional element” finding does NOT mean the optional element is missing — it means the record populated the optional parent and the content inside it is defective (e.g. the 0..1 period.end inside an optional 0..1 address period, filled with a placeholder date). Each such row states the parent's own cardinality and class in its “what the profile expects” column. whole record = the message applies to the record, not an element. base-FHIR element = no profile-enumerated element within two levels above.

Of 31,320,889 validator messages: 9,712,048 sit directly on profile-enumerated elements, 18,345,865 on sub-fields inside them, 3,262,976 apply to whole records, and 0 sit on base-FHIR elements outside the profile's reach. All groups are itemized below; nothing is dropped. Records-affected counts are exact per (element, category) row; the same record can appear in several rows.

required element 13 element rows

element	record type	what the profile expects here	issue category	records affected	messages
activePractitioner.active	Practitioner	type boolean, 1..1	structural conformance	22.8%n=221,172	50,492
qualification › extension › extension › valuePractitioner.qualification.extension.extension.value[x]	Practitioner	type varies by slice, 1..1, binding varies by slice	required code sets	19.8%n=221,172	49,990
qualification › extension › extension › valuePractitioner.qualification.extension.extension.value[x]	Practitioner	type varies by slice, 1..1, binding varies by slice	structural conformance	13.1%n=221,172	32,942
extension › extension › valuePractitionerRole.extension.extension.value[x]	PractitionerRole	type varies by slice, 1..1, binding varies by slice	required code sets	14.7%n=96,027	7,062,435
activeOrganization.active	Organization	type boolean, 1..1	structural conformance	0.3%n=1,862,241	5,177
extension › extension › urlPractitionerRole.extension.extension.url	PractitionerRole	1..1	validator limitation	0.3%n=96,027	363
extension › urlPractitionerRole.extension.url	PractitionerRole	1..1	validator limitation	<0.1%n=96,027	88
nameOrganization.name	Organization	type string, 1..1	structural conformance	<0.1%n=1,862,241	43
telecom › valuePractitionerRole.telecom.value	PractitionerRole	type string, 1..1	validator limitation	<0.1%n=96,027	31
telecom › systemPractitionerRole.telecom.system	PractitionerRole	type code, 1..1, required binding to contact-point-system	validator limitation	<0.1%n=96,027	9
activePractitionerRole.active	PractitionerRole	type boolean, 1..1	validator limitation	<0.1%n=96,027	4
typeInsurancePlan.type	InsurancePlan	1..1, extensible binding to InsuranceProductTypeVS	preferred code sets	1 of 1 records	1
extension › extension › valuePractitionerRole.extension.extension.value[x]	PractitionerRole	type varies by slice, 1..1, binding varies by slice	validator limitation	<0.1%n=96,027	1

must-support 22 element rows

element	record type	what the profile expects here	issue category	records affected	messages
identifier › typeOrganization.identifier.type	Organization	0..1, extensible binding to identifier-type	preferred code sets	95.9%n=1,862,241	1,786,308
identifier › typePractitioner.identifier.type	Practitioner	0..1, extensible binding to identifier-type	preferred code sets	all 221,172 records	442,344
name › textPractitioner.name.text	Practitioner	type string, 0..1	structural conformance	44.4%n=221,172	98,188
specialtyPractitionerRole.specialty	PractitionerRole	0..*, required binding to IndividualAndGroupSpecialtiesVS	preferred code sets	98.9%n=96,027	142,277
telecom › systemLocation.telecom.system	Location	type code, 0..1, required binding to contact-point-system	required code sets	0.3%n=915,339	6,248
address › lineLocation.address.line	Location	type string, 0..*	structural conformance	0.1%n=915,339	1,330
codePractitionerRole.code	PractitionerRole	0..*, required binding to PractitionerRoleVS	preferred code sets	<0.1%n=96,027	73
address › lineOrganization.address.line	Organization	type string, 0..4	validator limitation	<0.1%n=1,862,241	25
qualificationPractitioner.qualification	Practitioner	0..*	structural conformance	<0.1%n=221,172	48
address › postalCodeOrganization.address.postalCode	Organization	type string, 0..1	validator limitation	<0.1%n=1,862,241	13
telecom › valueOrganization.telecom.value	Organization	type string, 0..1	validator limitation	<0.1%n=1,862,241	12
address › stateOrganization.address.state	Organization	type string, 0..1, extensible binding to us-core-usps-state	validator limitation	<0.1%n=1,862,241	10
identifier › valueOrganization.identifier.value	Organization	type string, 0..1	validator limitation	<0.1%n=1,862,241	10
address › cityOrganization.address.city	Organization	type string, 0..1	validator limitation	<0.1%n=1,862,241	9
address › countryOrganization.address.country	Organization	type string, 0..1	validator limitation	<0.1%n=1,862,241	9
identifier › systemOrganization.identifier.system	Organization	type uri, 0..1	validator limitation	<0.1%n=1,862,241	4
specialtyPractitionerRole.specialty	PractitionerRole	0..*, required binding to IndividualAndGroupSpecialtiesVS	required code sets	<0.1%n=96,027	4
telecom › systemOrganization.telecom.system	Organization	type code, 0..1, required binding to contact-point-system	validator limitation	<0.1%n=1,862,241	3
address › cityOrganization.address.city	Network	type string, 0..1	validator limitation	5.6%n=36	2
address › lineOrganization.address.line	Network	type string, 0..4	validator limitation	5.6%n=36	2
address › countryOrganization.address.country	Network	type string, 0..1	validator limitation	2.8%n=36	1
address › stateOrganization.address.state	Network	type string, 0..1, extensible binding to us-core-usps-state	validator limitation	2.8%n=36	1

sub-field of a required element 24 element rows

element	record type	what the profile expects here	issue category	records affected	messages
type › coding › systemOrganization.type.coding.system	Organization	core-FHIR sub-field coding.system inside an element (cardinality varies by slice, binding varies by slice) — these messages can only fire in records that populated the parent	code-system version stamping	all 1,862,241 records	2,320,009
type › coding › versionOrganization.type.coding.version	Organization	core-FHIR sub-field coding.version inside an element (cardinality varies by slice, binding varies by slice) — these messages can only fire in records that populated the parent	code-system version stamping	all 1,862,241 records	1,862,241
qualification › code › coding › systemPractitioner.qualification.code.coding.system	Practitioner	core-FHIR sub-field coding.system inside an element (1..1, extensible binding to IndividualSpecialtyAndDegreeLicenseCertificateVS) — these messages can only fire in records that populated the parent	code-system version stamping	48.9%n=221,172	147,587
qualification › extension › extension › value › coding › systemPractitioner.qualification.extension.extension.value[x].coding.system	Practitioner	core-FHIR sub-field coding.system inside an element (type varies by slice, 1..1, binding varies by slice) — these messages can only fire in records that populated the parent	code-system version stamping	19.8%n=221,172	49,990
extension › extension › value › coding › systemPractitionerRole.extension.extension.value[x].coding.system	PractitionerRole	core-FHIR sub-field coding.system inside an element (type varies by slice, 1..1, binding varies by slice) — these messages can only fire in records that populated the parent	code-system version stamping	45.2%n=96,027	7,315,970
extension › extension › value › coding › versionPractitionerRole.extension.extension.value[x].coding.version	PractitionerRole	core-FHIR sub-field coding.version inside an element (type varies by slice, 1..1, binding varies by slice) — these messages can only fire in records that populated the parent	code-system version stamping	30.6%n=96,027	253,535
extension › extension › value › coding › systemHealthcareService.extension.extension.value[x].coding.system	HealthcareService	core-FHIR sub-field coding.system inside an element (type varies by slice, 1..1, binding varies by slice) — these messages can only fire in records that populated the parent	code-system version stamping	76.1%n=38,198	30,177
extension › extension › value › coding › versionHealthcareService.extension.extension.value[x].coding.version	HealthcareService	core-FHIR sub-field coding.version inside an element (type varies by slice, 1..1, binding varies by slice) — these messages can only fire in records that populated the parent	code-system version stamping	76.1%n=38,198	30,177
extension › extension › value › coding › systemPractitionerRole.extension.extension.value[x].coding.system	PractitionerRole	core-FHIR sub-field coding.system inside an element (type varies by slice, 1..1, binding varies by slice) — these messages can only fire in records that populated the parent	uncheckable codes	16.9%n=96,027	16,864
extension › extension › value › coding › systemLocation.extension.extension.value[x].coding.system	Location	core-FHIR sub-field coding.system inside an element (type varies by slice, 1..1, binding varies by slice) — these messages can only fire in records that populated the parent	code-system version stamping	1.6%n=915,339	14,531
extension › extension › value › coding › versionLocation.extension.extension.value[x].coding.version	Location	core-FHIR sub-field coding.version inside an element (type varies by slice, 1..1, binding varies by slice) — these messages can only fire in records that populated the parent	code-system version stamping	1.6%n=915,339	14,531
extension › extension › value › endPractitionerRole.extension.extension.value[x].end	PractitionerRole	core-FHIR sub-field end inside an element (type varies by slice, 1..1, binding varies by slice) — these messages can only fire in records that populated the parent	structural conformance	13.6%n=96,027	13,575
extension › extension › value › coding › codePractitionerRole.extension.extension.value[x].coding.code	PractitionerRole	core-FHIR sub-field coding.code inside an element (type varies by slice, 1..1, binding varies by slice) — these messages can only fire in records that populated the parent	validator limitation	1.3%n=96,027	1,635
extension › extension › value › coding › displayPractitionerRole.extension.extension.value[x].coding.display	PractitionerRole	core-FHIR sub-field coding.display inside an element (type varies by slice, 1..1, binding varies by slice) — these messages can only fire in records that populated the parent	validator limitation	1.3%n=96,027	1,538
extension › extension › value › coding › versionPractitionerRole.extension.extension.value[x].coding.version	PractitionerRole	core-FHIR sub-field coding.version inside an element (type varies by slice, 1..1, binding varies by slice) — these messages can only fire in records that populated the parent	validator limitation	0.9%n=96,027	931
extension › extension › value › coding › systemPractitionerRole.extension.extension.value[x].coding.system	PractitionerRole	core-FHIR sub-field coding.system inside an element (type varies by slice, 1..1, binding varies by slice) — these messages can only fire in records that populated the parent	validator limitation	0.2%n=96,027	211
type › coding › systemOrganization.type.coding.system	Network	core-FHIR sub-field coding.system inside an element (cardinality varies by slice, binding varies by slice) — these messages can only fire in records that populated the parent	code-system version stamping	all 36 records	36
type › coding › versionOrganization.type.coding.version	Network	core-FHIR sub-field coding.version inside an element (cardinality varies by slice, binding varies by slice) — these messages can only fire in records that populated the parent	code-system version stamping	all 36 records	36
extension › extension › value › referencePractitionerRole.extension.extension.value[x].reference	PractitionerRole	core-FHIR sub-field reference inside an element (type varies by slice, 1..1, binding varies by slice) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	32
type › coding › displayOrganization.type.coding.display	Organization	core-FHIR sub-field coding.display inside an element (cardinality varies by slice, binding varies by slice) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=1,862,241	7
type › coding › codeOrganization.type.coding.code	Organization	core-FHIR sub-field coding.code inside an element (cardinality varies by slice, binding varies by slice) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=1,862,241	5
extension › extension › value › startPractitionerRole.extension.extension.value[x].start	PractitionerRole	core-FHIR sub-field start inside an element (type varies by slice, 1..1, binding varies by slice) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	4
extension › extension › value › displayPractitionerRole.extension.extension.value[x].display	PractitionerRole	core-FHIR sub-field display inside an element (type varies by slice, 1..1, binding varies by slice) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	1
extension › extension › value › endPractitionerRole.extension.extension.value[x].end	PractitionerRole	core-FHIR sub-field end inside an element (type varies by slice, 1..1, binding varies by slice) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	1

sub-field of a must-support element 27 element rows

element	record type	what the profile expects here	issue category	records affected	messages
identifier › type › coding › systemOrganization.identifier.type.coding.system	Organization	core-FHIR sub-field coding.system inside an element (0..1, extensible binding to identifier-type) — these messages can only fire in records that populated the parent	uncheckable codes	95.3%n=1,862,241	1,774,701
identifier › type › coding › systemPractitioner.identifier.type.coding.system	Practitioner	core-FHIR sub-field coding.system inside an element (0..1, extensible binding to identifier-type) — these messages can only fire in records that populated the parent	uncheckable codes	all 221,172 records	221,172
specialty › coding › systemPractitionerRole.specialty.coding.system	PractitionerRole	core-FHIR sub-field coding.system inside an element (0..*, required binding to IndividualAndGroupSpecialtiesVS) — these messages can only fire in records that populated the parent	code-system version stamping	98.9%n=96,027	142,273
qualification › period › endPractitioner.qualification.period.end	Practitioner	core-FHIR sub-field end inside an element (0..1) — these messages can only fire in records that populated the parent	structural conformance	10.6%n=221,172	24,966
specialty › coding › systemHealthcareService.specialty.coding.system	HealthcareService	core-FHIR sub-field coding.system inside an element (0..*, required binding to SpecialtiesVS) — these messages can only fire in records that populated the parent	code-system version stamping	61.1%n=38,198	27,462
code › coding › versionPractitionerRole.code.coding.version	PractitionerRole	core-FHIR sub-field coding.version inside an element (0..*, required binding to PractitionerRoleVS) — these messages can only fire in records that populated the parent	code-system version stamping	19.6%n=96,027	18,985
code › coding › systemPractitionerRole.code.coding.system	PractitionerRole	core-FHIR sub-field coding.system inside an element (0..*, required binding to PractitionerRoleVS) — these messages can only fire in records that populated the parent	code-system version stamping	19.6%n=96,027	18,912
type › coding › systemLocation.type.coding.system	Location	core-FHIR sub-field coding.system inside an element (0..*, extensible binding to v3-ServiceDeliveryLocationRoleType) — these messages can only fire in records that populated the parent	code-system version stamping	1.0%n=915,339	8,754
type › coding › versionLocation.type.coding.version	Location	core-FHIR sub-field coding.version inside an element (0..*, extensible binding to v3-ServiceDeliveryLocationRoleType) — these messages can only fire in records that populated the parent	code-system version stamping	1.0%n=915,339	26,262
identifier › type › coding › codeOrganization.identifier.type.coding.code	Organization	core-FHIR sub-field coding.code inside an element (0..1, extensible binding to identifier-type) — these messages can only fire in records that populated the parent	code-system version stamping	0.4%n=1,862,241	7,654
specialty › coding › codePractitionerRole.specialty.coding.code	PractitionerRole	core-FHIR sub-field coding.code inside an element (0..*, required binding to IndividualAndGroupSpecialtiesVS) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	21
identifier › type › coding › codeOrganization.identifier.type.coding.code	Organization	core-FHIR sub-field coding.code inside an element (0..1, extensible binding to identifier-type) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=1,862,241	20
specialty › coding › displayPractitionerRole.specialty.coding.display	PractitionerRole	core-FHIR sub-field coding.display inside an element (0..*, required binding to IndividualAndGroupSpecialtiesVS) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	17
specialty › coding › versionPractitionerRole.specialty.coding.version	PractitionerRole	core-FHIR sub-field coding.version inside an element (0..*, required binding to IndividualAndGroupSpecialtiesVS) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	12
specialty › textPractitionerRole.specialty.text	PractitionerRole	core-FHIR sub-field text inside an element (0..*, required binding to IndividualAndGroupSpecialtiesVS) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	10
location › referencePractitionerRole.location.reference	PractitionerRole	core-FHIR sub-field reference inside an element (type Reference, 0..*) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	9
period › startPractitionerRole.period.start	PractitionerRole	core-FHIR sub-field start inside an element (0..1) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	9
location › typePractitionerRole.location.type	PractitionerRole	core-FHIR sub-field type inside an element (type Reference, 0..*) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	5
practitioner › typePractitionerRole.practitioner.type	PractitionerRole	core-FHIR sub-field type inside an element (type Reference, 0..1) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	3
specialty › coding › systemPractitionerRole.specialty.coding.system	PractitionerRole	core-FHIR sub-field coding.system inside an element (0..*, required binding to IndividualAndGroupSpecialtiesVS) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	3
identifier › type › coding › systemOrganization.identifier.type.coding.system	Organization	core-FHIR sub-field coding.system inside an element (0..1, extensible binding to identifier-type) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=1,862,241	2
code › coding › codePractitionerRole.code.coding.code	PractitionerRole	core-FHIR sub-field coding.code inside an element (0..*, required binding to PractitionerRoleVS) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	1
code › coding › systemPractitionerRole.code.coding.system	PractitionerRole	core-FHIR sub-field coding.system inside an element (0..*, required binding to PractitionerRoleVS) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	1
code › coding › versionPractitionerRole.code.coding.version	PractitionerRole	core-FHIR sub-field coding.version inside an element (0..*, required binding to PractitionerRoleVS) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	1
healthcareService › referencePractitionerRole.healthcareService.reference	PractitionerRole	core-FHIR sub-field reference inside an element (type Reference, 0..*) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	1

2 smaller rows of this class are in the accompanying dataset.

sub-field of an optional element 21 element rows

element	record type	what the profile expects here	issue category	records affected	messages
meta › extensionOrganization.meta.extension	Organization	core-FHIR sub-field extension inside an element (0..1) — these messages can only fire in records that populated the parent	publisher infrastructure	all 1,862,241 records	1,862,241
meta › extensionLocation.meta.extension	Location	core-FHIR sub-field extension inside an element (0..1) — these messages can only fire in records that populated the parent	publisher infrastructure	all 915,339 records	915,339
meta › extensionPractitioner.meta.extension	Practitioner	core-FHIR sub-field extension inside an element (0..1) — these messages can only fire in records that populated the parent	publisher infrastructure	all 221,172 records	221,172
address › period › endPractitioner.address.period.end	Practitioner	core-FHIR sub-field end inside an element (0..1) — these messages can only fire in records that populated the parent	structural conformance	86.1%n=221,172	764,915
meta › extensionPractitionerRole.meta.extension	PractitionerRole	core-FHIR sub-field extension inside an element (0..1) — these messages can only fire in records that populated the parent	publisher infrastructure	all 96,027 records	96,027
meta › extensionHealthcareService.meta.extension	HealthcareService	core-FHIR sub-field extension inside an element (0..1) — these messages can only fire in records that populated the parent	publisher infrastructure	all 38,198 records	38,198
communication › coding › codePractitioner.communication.coding.code	Practitioner	core-FHIR sub-field code inside an element (0..*) — these messages can only fire in records that populated the parent	code-system version stamping	7.0%n=221,172	15,583
communication › coding › systemPractitioner.communication.coding.system	Practitioner	core-FHIR sub-field system inside an element (0..*) — these messages can only fire in records that populated the parent	code-system version stamping	6.1%n=221,172	17,504
communication › coding › systemPractitioner.communication.coding.system	Practitioner	core-FHIR sub-field system inside an element (0..*) — these messages can only fire in records that populated the parent	uncheckable codes	4.4%n=221,172	9,680
communication › coding › versionPractitioner.communication.coding.version	Practitioner	core-FHIR sub-field version inside an element (0..*) — these messages can only fire in records that populated the parent	code-system version stamping	1.8%n=221,172	3,912
meta › extensionOrganization.meta.extension	Network	core-FHIR sub-field extension inside an element (0..1) — these messages can only fire in records that populated the parent	publisher infrastructure	all 36 records	36
address › period › startPractitioner.address.period.start	Practitioner	core-FHIR sub-field start inside an element (0..1) — these messages can only fire in records that populated the parent	structural conformance	<0.1%n=221,172	26
meta › profilePractitionerRole.meta.profile	PractitionerRole	core-FHIR sub-field profile inside an element (0..1) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	17
meta › profileOrganization.meta.profile	Organization	core-FHIR sub-field profile inside an element (0..1) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=1,862,241	6
meta › sourcePractitionerRole.meta.source	PractitionerRole	core-FHIR sub-field source inside an element (0..1) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	4
meta › extension › valuePractitionerRole.meta.extension.value[x]	PractitionerRole	core-FHIR sub-field extension.value[x] inside an element (0..1) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	3
meta › lastUpdatedPractitionerRole.meta.lastUpdated	PractitionerRole	core-FHIR sub-field lastUpdated inside an element (0..1) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=96,027	3
meta › extension › urlOrganization.meta.extension.url	Organization	core-FHIR sub-field extension.url inside an element (0..1) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=1,862,241	2
meta › extensionInsurancePlan.meta.extension	InsurancePlan	core-FHIR sub-field extension inside an element (0..1) — these messages can only fire in records that populated the parent	publisher infrastructure	1 of 1 records	1
meta › lastUpdatedOrganization.meta.lastUpdated	Organization	core-FHIR sub-field lastUpdated inside an element (0..1) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=1,862,241	1
address › period › startPractitioner.address.period.start	Practitioner	core-FHIR sub-field start inside an element (0..1) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=221,172	1

mixed slices 12 element rows

element	record type	what the profile expects here	issue category	records affected	messages
addressOrganization.address	Organization	cardinality varies by slice	structural conformance	0.3%n=1,862,241	28,126
identifierOrganization.identifier	Organization	0..*	structural conformance	<0.1%n=1,862,241	582
address › textOrganization.address.text	Organization	type string, 0..1	structural conformance	<0.1%n=1,862,241	295
address › extensionOrganization.address.extension	Organization	cardinality varies by slice	structural conformance	<0.1%n=1,862,241	1,080
address › extensionOrganization.address.extension	Network	cardinality varies by slice	structural conformance	66.7%n=36	3,408
identifierPractitioner.identifier	Practitioner	cardinality varies by slice	structural conformance	<0.1%n=221,172	22
address › textOrganization.address.text	Organization	type string, 0..1	validator limitation	<0.1%n=1,862,241	6
qualification › extension › extensionPractitioner.qualification.extension.extension	Practitioner	cardinality varies by slice, binding varies by slice	structural conformance	<0.1%n=221,172	12
address › textOrganization.address.text	Network	type string, 0..1	structural conformance	11.1%n=36	8
address › typeOrganization.address.type	Organization	type code, 0..1, required binding to address-type	validator limitation	<0.1%n=1,862,241	4
address › textOrganization.address.text	Network	type string, 0..1	validator limitation	2.8%n=36	1
address › typeOrganization.address.type	Network	type code, 0..1, required binding to address-type	validator limitation	2.8%n=36	1

sub-field of a mixed-class element 8 element rows

element	record type	what the profile expects here	issue category	records affected	messages
category › coding › systemHealthcareService.category.coding.system	HealthcareService	core-FHIR sub-field coding.system inside an element (cardinality varies by slice, binding varies by slice) — these messages can only fire in records that populated the parent	code-system version stamping	all 38,198 records	38,198
extension › value › coding › systemLocation.extension.value[x].coding.system	Location	core-FHIR sub-field coding.system inside an element (type varies by slice, cardinality varies by slice, binding varies by slice) — these messages can only fire in records that populated the parent	code-system version stamping	0.2%n=915,339	9,048
extension › value › coding › versionLocation.extension.value[x].coding.version	Location	core-FHIR sub-field coding.version inside an element (type varies by slice, cardinality varies by slice, binding varies by slice) — these messages can only fire in records that populated the parent	code-system version stamping	0.2%n=915,339	9,048
address › extension › extension › valueOrganization.address.extension.extension.value[x]	Organization	core-FHIR sub-field extension.value[x] inside an element (cardinality varies by slice) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=1,862,241	11
address › extension › extension › valueOrganization.address.extension.extension.value[x]	Network	core-FHIR sub-field extension.value[x] inside an element (cardinality varies by slice) — these messages can only fire in records that populated the parent	validator limitation	8.3%n=36	3
address › extension › urlOrganization.address.extension.url	Network	core-FHIR sub-field url inside an element (cardinality varies by slice) — these messages can only fire in records that populated the parent	validator limitation	5.6%n=36	2
address › extension › extension › urlOrganization.address.extension.extension.url	Network	core-FHIR sub-field extension.url inside an element (cardinality varies by slice) — these messages can only fire in records that populated the parent	validator limitation	2.8%n=36	1
address › extension › extension › urlOrganization.address.extension.extension.url	Organization	core-FHIR sub-field extension.url inside an element (cardinality varies by slice) — these messages can only fire in records that populated the parent	validator limitation	<0.1%n=1,862,241	1

optional element 3 element rows

element	record type	what the profile expects here	issue category	records affected	messages
address › useOrganization.address.use	Organization	type code, 0..1, required binding to address-use	validator limitation	<0.1%n=1,862,241	4
idOrganization.id	Organization	0..1	validator limitation	<0.1%n=1,862,241	1
telecom › useOrganization.telecom.use	Organization	type code, 0..1, required binding to contact-point-use	validator limitation	<0.1%n=1,862,241	1

whole record 11 element rows

element	record type	what the profile expects here	issue category	records affected	messages
the Organization record as a wholeOrganization	Organization	a record-level rule (a profile invariant or record-wide check), not any single element	advisory practices	all 1,862,241 records	1,862,241
the Location record as a wholeLocation	Location	a record-level rule (a profile invariant or record-wide check), not any single element	advisory practices	all 915,339 records	915,339
the Practitioner record as a wholePractitioner	Practitioner	a record-level rule (a profile invariant or record-wide check), not any single element	advisory practices	all 221,172 records	221,172
the Organization record as a wholeOrganization	Organization	a record-level rule (a profile invariant or record-wide check), not any single element	structural conformance	7.0%n=1,862,241	129,829
the PractitionerRole record as a wholePractitionerRole	PractitionerRole	a record-level rule (a profile invariant or record-wide check), not any single element	advisory practices	all 96,027 records	96,027
the HealthcareService record as a wholeHealthcareService	HealthcareService	a record-level rule (a profile invariant or record-wide check), not any single element	advisory practices	all 38,198 records	38,198
the PractitionerRole record as a wholePractitionerRole	PractitionerRole	a record-level rule (a profile invariant or record-wide check), not any single element	structural conformance	<0.1%n=96,027	96
the Network record as a wholeOrganization	Network	a record-level rule (a profile invariant or record-wide check), not any single element	advisory practices	all 36 records	36
the Network record as a wholeOrganization	Network	a record-level rule (a profile invariant or record-wide check), not any single element	structural conformance	all 36 records	36
the InsurancePlan record as a wholeInsurancePlan	InsurancePlan	a record-level rule (a profile invariant or record-wide check), not any single element	advisory practices	1 of 1 records	1
the InsurancePlan record as a wholeInsurancePlan	InsurancePlan	a record-level rule (a profile invariant or record-wide check), not any single element	structural conformance	1 of 1 records	1

E. Which standard's rules fire

validator messages attributed to the standard that owns the rule that produced them

In plain terms: “conformance” is really three stacked rulebooks — core FHIR R4, US Core, and Plan-Net — plus the code sets they point at. This section says which rulebook each failure belongs to, so the right team owns the fix.

Records were validated against the Plan-Net 1.2.0 profiles, which build on FHIR R4. The first three rows attribute by the standard that owns the failing rule (named in the message itself: an R4, US Core, or Plan-Net invariant, or a fixed-value / cardinality constraint whose defining profile the message cites). Code-set membership failures get their own row: a message that cites a value set does not say which standard's profile imposed the binding (a Plan-Net slice can require a US Core value set), so counting them under the set's owner would misattribute the rule — the exact failing sets, per source, are in §B's binding drill-downs.

US Core / USCDI was not independently evaluated. Plan-Net does not derive from US Core, and this analysis validated against Plan-Net only; the US Core row below counts the US Core invariants Plan-Net itself imports. A statement about full US Core (USCDI v3) conformance would require its own validation pass and is not made here.

rule owner	Medicare Advantage	Medicaid	Other (ODS)
Plan-Net 1.2.0	99,603	113,599	5,901
US Core	102	10	0
FHIR R4 base	1,990,245	679,231	1,376,546
code-set membership (set owner ≠ rule owner)	16,683,577	1,705,211	5,505,724
not attributable to one standard	1,112,877	671,832	1,376,431

Counts are validator messages, not records; one record can appear under several rows.

USCDI v3 data classes — how well is the underlying data there?

Separate from validator rules: for each USCDI v3 data class that has a directory counterpart, how many records actually populate it. No official USCDI-to-directory mapping exists, so every row carries its mapping quality. These figures are population-wide (this lens does not split by source); the per-line-of-business completeness picture is §C.

record type	USCDI data class	mapping	populated
Endpoint	provenance author timestamp USCDI-required	proxy measurement	no signal, n=0
Group	group identifier USCDI-required	not measurable here	no signal, n=0
HealthcareService	provenance author timestamp USCDI-required	proxy measurement	all 38,198 records
InsurancePlan	insurance plan identifier	weak proxy	1 of 1 records
InsurancePlan	provenance author timestamp USCDI-required	proxy measurement	1 of 1 records
Location	demographics email USCDI-required	closest directory analog	0 of 915,339 records
Location	demographics location address complete USCDI-required	closest directory analog	>99.9%n=915,339
Location	demographics phone USCDI-required	closest directory analog	15.1%n=915,339
Location	demographics phone type	closest directory analog	<0.1%n=915,339
Location	provenance author timestamp USCDI-required	proxy measurement	all 915,339 records
Organization	demographics email USCDI-required	closest directory analog	0.7%n=1,862,241
Organization	demographics phone USCDI-required	closest directory analog	84.9%n=1,862,241
Organization	demographics phone type	closest directory analog	8.5%n=1,862,241
Organization	provenance author timestamp (denominator includes the 36 network records) USCDI-required	proxy measurement	all 1,862,277 records
OrganizationAffiliation	provenance author timestamp USCDI-required	proxy measurement	no signal, n=0
Practitioner	care team member identifier npi USCDI-required	inferred mapping	all 221,172 records
Practitioner	care team member name family USCDI-required	inferred mapping	all 221,172 records
Practitioner	care team member name given USCDI-required	inferred mapping	all 221,172 records
Practitioner	care team member telecom phone USCDI-required	inferred mapping	65.0%n=221,172
Practitioner	care team member telecom phone format	closest directory analog	65.0%n=221,172
Practitioner	demographics communication presence USCDI-required	closest directory analog	13.2%n=221,172
Practitioner	demographics communication rfc5646	closest directory analog	12.9%n=221,172
Practitioner	demographics email USCDI-required	closest directory analog	0 of 221,172 records
Practitioner	demographics phone USCDI-required	closest directory analog	65.0%n=221,172
Practitioner	demographics phone type	closest directory analog	18.9%n=221,172
Practitioner	provenance author timestamp USCDI-required	proxy measurement	all 221,172 records
PractitionerRole	care team member location USCDI-required	inferred mapping	>99.9%n=96,027
PractitionerRole	care team member role USCDI-required	inferred mapping	19.6%n=96,027
PractitionerRole	provenance author timestamp USCDI-required	proxy measurement	all 96,027 records
Provenance	provenance author organization USCDI-required	not measurable here	no signal, n=0

Mapping quality: closest directory analog = the directory field that carries the same fact (e.g. a practitioner's phone for the phone data class); proxy = a stand-in signal (e.g. a last-updated timestamp standing in for provenance); inferred = no official mapping exists, ours is a reasoned one; weak proxy = the stand-in is loose — read with care; not measurable here = the data class has no directory counterpart. Denominators count the captured tables directly (the organization figure includes the 36 network records).

F. Medicare Plan Finder readiness

the CMS-required digital directory format, measured element by element

In plain terms: CMS requires Medicare Advantage organizations to publish their provider directory in a machine-readable format (42 CFR 422.111(m)), and the CMS implementation guide names Plan-Net 1.2.0 — the same standard this report measures — with a specific list of required elements. This section checks each of them. As captured, this directory could not power a Medicare Plan Finder provider search for the Medicare Advantage line: the one published InsurancePlan record is a placeholder, not a real plan — its only identifier is the bare value "1", its required type is present solely as a data-absent-reason (the only occurrence of that pattern anywhere in this capture), it names no network, period, or coverage area, and it has not been modified since 2024-10-18 while the rest of the directory refreshes regularly. So this section cannot assess whether a real plan record would meet the guide's requirements — it can only report that no real plan data has been published to assess. 0 of 45,616 Medicare Advantage provider roles carry the NPI the guide requires at the role level.

	record type	guide element	populated (Medicare Advantage records)
Isolated	InsurancePlan	identifier required by the guide	1 of 1 records
Widespread	InsurancePlan	name required by the guide	0 of 1 records
Widespread	InsurancePlan	network linkage required by the guide	0 of 1 records
Widespread	InsurancePlan	plan period start required by the guide	0 of 1 records
Widespread	InsurancePlan	CMS-format plan id (H/R/S/E contract shape)	0 of 1 records
Isolated	Location	city required by the guide	>99.9%n=605,951
Isolated	Location	complete address required by the guide	>99.9%n=605,951
Isolated	Location	street line required by the guide	>99.9%n=605,951
Isolated	Location	postal code required by the guide	>99.9%n=605,951
Isolated	Location	state required by the guide	>99.9%n=605,951
Widespread	Location	phone required by the guide	0 of 605,951 records
Isolated	Organization	address required by the guide	95.3%n=218,574
Isolated	Organization	last-updated timestamp required by the guide	all 218,574 records
Isolated	Organization	name required by the guide	all 218,574 records
Widespread	Organization	NPI required by the guide	76.8%n=218,574
Isolated	Organization	organization type required by the guide	all 218,574 records
Widespread	Organization	type coded in NUCC system	0 of 218,574 records
Widespread	OrganizationAffiliation	practice location linkage required by the guide	not published at all — the guide requires this record type
Widespread	OrganizationAffiliation	network linkage required by the guide	not published at all — the guide requires this record type
Widespread	OrganizationAffiliation	managing organization required by the guide	not published at all — the guide requires this record type
Widespread	OrganizationAffiliation	participating organization required by the guide	not published at all — the guide requires this record type
Widespread	OrganizationAffiliation	specialty required by the guide	not published at all — the guide requires this record type
Widespread	Practitioner	languages spoken required by the guide	6.6%n=205,454
Isolated	Practitioner	family name required by the guide	all 205,454 records
Isolated	Practitioner	given name required by the guide	all 205,454 records
Isolated	Practitioner	gender	all 205,454 records
Isolated	Practitioner	NPI at practitioner level	all 205,454 records
Isolated	PractitionerRole	last-updated timestamp required by the guide	all 45,616 records
Isolated	PractitionerRole	practice location linkage required by the guide	99.8%n=45,616
Widespread	PractitionerRole	network linkage required by the guide	0 of 45,616 records
Widespread	PractitionerRole	NPI on the role required by the guide	0 of 45,616 records
Isolated	PractitionerRole	specialty required by the guide	all 45,616 records
Isolated	PractitionerRole	phone on the role required by the guide	99.8%n=45,616
Widespread	PractitionerRole	accepting-new-patients flag	64.3%n=45,616
Isolated	PractitionerRole	updated within 30 days	all 45,616 records
Isolated	PractitionerRole	specialty in NUCC taxonomy format	all 45,616 records
Isolated	PractitionerRole	specialty coded in a standard system	all 45,616 records

Only Medicare Advantage records are counted — the Plan Finder obligation attaches to the Medicare line, and the Other (ODS) feed and Medicaid records are excluded from every figure above. Isolated = 95% or more of Medicare Advantage records populate the element; Widespread = anything less, including a required record type that is not published at all. These checks were measured 2026-08-31 over the same captured population as the rest of this report (the analysis date in the identity strip refers to the validator run; this lens ran separately). Plan-Finder eligibility basis: the plan publicly sells Medicare Advantage products and the captured directory carries MA-designated network records; the automated MA classifier alone does not trip on this capture's naming, so eligibility is recorded as a documented public-record determination. Rule-set provenance: CMS Technical Implementation Guide for the MA/MAPD/PDP Provider/Facility Directory Digital Format (2026-02-18), under 42 CFR 422.111(m) (CMS-4208-F2), naming Da Vinci PDex Plan-Net 1.2.0 as the required format. cms.gov 403s automated fetches; read via a DocumentCloud mirror of the published PDF. Element list transcribed from that mirror, not cross-checked against a second independent source.

Note added 2026-09-02 (not part of the original report). The 45,616 Medicare Advantage roles resolve to 21,528 distinct practitioners, each carrying an NPI on the practitioner record. Checked against the federal NPI registry (NPPES, as of 2026-08-23): 21,527 resolve; 245 (1.1%) are deactivated, 79 of them on records marked active; 381 roles point at a deactivated NPI, and since all 45,616 Medicare Advantage roles are marked active the role-level flag carries no status signal; of the 10,809 practitioners marked inactive, 10,643 (98.5%) carry a live NPI. Method, charts and the general-population check: finding 13 of the board this report is embedded in.

G. Data-quality rates per source and record type

material categories only — environment artifacts and advisories excluded (see §B)

In plain terms: the same quality questions, asked separately of each line of business — because a pooled number would hide that the two lines often differ sharply.

record type	source	records	≥1 material finding	≥1 error-severity	structural	required code sets	preferred code sets
HealthcareService	Medicaid	29,079	0 of 29,079 records	0 of 29,079 records	0 of 29,079 records	0 of 29,079 records	0 of 29,079 records
HealthcareService	Medicare Advantage	9,119	0 of 9,119 records	0 of 9,119 records	0 of 9,119 records	0 of 9,119 records	0 of 9,119 records
InsurancePlan	Medicare Advantage	1	1 of 1 records	1 of 1 records	1 of 1 records	0 of 1 records	1 of 1 records
Location	Medicare Advantage	605,951	0.2%n=605,951	0 of 605,951 records	0.2%n=605,951	0 of 605,951 records	0 of 605,951 records
Location	Medicaid	309,388	1.0%n=309,388	1.0%n=309,388	0 of 309,388 records	1.0%n=309,388	0 of 309,388 records
Network	Medicare Advantage	36	all 36 records	all 36 records	all 36 records	0 of 36 records	0 of 36 records
Organization	Other (ODS)	1,376,431	all 1,376,431 records	0.4%n=1,376,431	0.4%n=1,376,431	0 of 1,376,431 records	all 1,376,431 records
Organization	Medicaid	267,236	95.2%n=267,236	42.5%n=267,236	42.5%n=267,236	0 of 267,236 records	90.6%n=267,236
Organization	Medicare Advantage	218,574	77.9%n=218,574	9.4%n=218,574	9.5%n=218,574	0 of 218,574 records	76.8%n=218,574
Practitioner	Medicare Advantage	205,454	all 205,454 records	45.9%n=205,454	98.7%n=205,454	21.3%n=205,454	all 205,454 records
Practitioner	Medicaid	15,718	all 15,718 records	0 of 15,718 records	46.2%n=15,718	0 of 15,718 records	all 15,718 records
PractitionerRole	Medicaid	50,411	97.9%n=50,411	<0.1%n=50,411	<0.1%n=50,411	<0.1%n=50,411	97.9%n=50,411
PractitionerRole	Medicare Advantage	45,616	all 45,616 records	31.0%n=45,616	28.7%n=45,616	30.9%n=45,616	all 45,616 records

H. Placeholder and default values

how much of the data satisfies structure with content that carries no information

FHIR's sanctioned mechanism for declaring absent data (data-absent-reason) appears on 1 record in the entire capture — the publisher does not use it. Placeholders here take other shapes: fixed values contradicted by the record's own status, sentinel dates, literal “Unknown” names, and a version number stamped mechanically on every code system (§B). The version-stamping defect alone accounts for 12,382,415 validator messages (40% of all output).

signal	measured, by source
Inactive practitioners publishedactive = false where the profile fixes active = true	Medicare Advantage: 24.6%n=205,454 Medicaid: 0 of 15,718 records
Practitioner gender recorded as “unknown”a legal FHIR value; at scale it is a fill-in	Medicare Advantage: 1.9%n=205,454 Medicaid: 1.4%n=15,718
Placeholder “never expires” datesrecords carrying 2999-12-31 or 9999-12-31 anywhere	Medicare Advantage: 92.8%n=205,454 Medicaid: 0 of 15,718 records
… in the address validity period (end date)Practitioner.address.period.end = 2999/9999-12-31: the address is declared valid forever	Medicare Advantage: 92.6%n=205,454 Medicaid: 0 of 15,718 records
… in qualification / licence validity periodsa 2999/9999-12-31 date inside Practitioner.qualification: the licence or certification is declared to never expire	Medicare Advantage: 11.4%n=205,454 Medicaid: 0 of 15,718 records
… placeholder start dates (1753-01-01)Practitioner.address.period.start set to a database-epoch placeholder	Medicare Advantage: <0.1%n=205,454 Medicaid: <0.1%n=15,718
Services named “Unknown”a required name filled with a literal placeholder	Medicare Advantage: 0 of 9,119 records Medicaid: 34.6%n=29,079
Locations with no geocoordinatesstructurally valid addresses that cannot be mapped	Medicare Advantage: 79.1%n=605,951 Medicaid: 98.4%n=309,388
Networks with placeholder namesINVALID, NOT APPLICABLE, UNKNOWN, UNKNOWN-ERROR	4 of 36 networks
Junk postal codes / location names00000-style postal codes; names like UNKNOWN / N/A	23 junk postal codes, 5 junk names

I. How much of the directory is inside the plan’s state boundaries?

locality measured from published addresses

Locations, by source

source	locations	inside state boundaries	no state recorded
Medicare Advantage	605,951	60.4%n=605,951	435
Medicaid	309,388	72.5%n=309,388	40

Locations a provider role actually points at

an out-of-state location no role references is a different problem from one a member can be routed to

source	referenced locations	inside state boundaries
Medicare Advantage	21,854	93.4%n=21,854
Medicaid	8,825	98.2%n=8,825

Organizations, by source

source	organizations	inside state boundaries	no state recorded
Other (ODS)	1,376,431	2.2%n=1,376,431	19,491
Medicaid	267,236	8.1%n=267,236	115,596
Medicare Advantage	218,610	25.1%n=218,610	10,475

Organization counts in this section read the captured tables directly and include the 36 network records; §G's per-type rates report Network as its own record type, so its Organization denominators are smaller by exactly that count.

Largest out-of-state concentrations (locations)

state	locations
CA	60,745
TX	32,967
FL	16,538
NV	15,946
IL	14,192
ME	13,439
UT	12,143
CO	11,794
MN	10,686
PA	10,338

Out-of-state entries are not automatically wrong — border towns, national providers and telehealth exist — but their share, and the 12-point spread between the two lines of business, is directory signal a consumer should know.

J. Referential integrity

records were validated standalone, so the validator never checked whether references resolve; measured here directly against the captured population

In plain terms: directory records point at each other — a role points at its practitioner, its clinic, its locations. Here we follow every such pointer and report the ones that lead nowhere, the ones that lead into the other line of business, and the records nothing points at.

Forward: do references point at records that exist?

“crosses source” counts references that resolve, but to a record carrying a different source marker — intact for a pooled directory, broken from within one line of business. Unparseable references (non-Type/id forms) are counted separately, not as dangling.

These numbers are capture-relative. A reference counts as dangling when its target id is absent from the captured population. The capture walked the plan's published directory to exhaustion on every record type — every page the source serves was retrieved, and the record counts reconcile exactly against the validated population — so a dangling reference here means the target is not retrievable from the published directory, not merely that it was missed. Capture method and its limits: §L.

reference	source of the record	refs	dangling	crosses source
HealthcareService → Location	Medicare Advantage	173,167	<0.1%n=173,167	0
HealthcareService → Location	Medicaid	17,391	64.8%n=17,391	0
HealthcareService → Organization	Medicare Advantage	9,119	2.8%n=9,119	0
HealthcareService → Organization	Medicaid	29,079	all 29,079 records	0
InsurancePlan → Organization(ownedBy)	Medicare Advantage	1	0 of 1 records	0
Location → Organization(managing)	Medicare Advantage	605,951	0.2%n=605,951	0
Location → Organization(managing)	Medicaid	26,198	<0.1%n=26,198	0
PractitionerRole → Location	Medicare Advantage	139,038	0 of 139,038 records	0
PractitionerRole → Location	Medicaid	50,516	82.0%n=50,516	0
PractitionerRole → Organization	Medicare Advantage	45,616	0 of 45,616 records	0
PractitionerRole → Organization	Medicaid	50,411	0 of 50,411 records	0
PractitionerRole → Practitioner	Medicare Advantage	45,616	0 of 45,616 records	0
PractitionerRole → Practitioner	Medicaid	50,411	0.7%n=50,411	35,603

Reverse: what does nothing point at?

source	practitioners	with no role at all
Medicare Advantage	205,454	85.7%n=205,454
Medicaid	15,718	51.5%n=15,718

source	locations	referenced by no role or service
Medicare Advantage	605,951	95.5%n=605,951
Medicaid	309,388	96.0%n=309,388

Network references are absent everywhere: no role, no affiliation and no plan references any of the 36 network records (§K).

K. Population shape — what the counts say

structural observations, all computed from this capture

In plain terms: before judging quality record by record, the shape of the population itself tells a story — what is published in abundance, what is nearly absent, and what exists but connects to nothing.

Insurance plans: 1, and it is a placeholder

Published: one InsurancePlan record, and its contents mark it as a stub rather than real plan data — its identifier is the bare value "1", its required type element is present only as a data-absent-reason (the sole occurrence of that pattern in this entire capture), it names no network, period, or coverage area, it is owned by and administered by the payer's own organization, and it has not been touched since 2024-10-18 while the rest of the directory carries 2026-08 timestamps. Whether this is a deliberate stub or an abandoned load cannot be determined from the data; either way, no real plan-level data has been published. That said, the chain-break finding below does not rest on this one record: with 0 network references on 96,027 roles and 0 affiliation records, the plan→network→provider chain has no first link and no last link regardless of whether the plan record itself is real — the question “which providers are in this plan?” cannot be answered from the published directory, for either line of business, and a real InsurancePlan record would not by itself change that.

Networks: 36, referenced by nothing

Of the 36 network records, 32 carry the plan's internal product and geography names (withheld here to preserve anonymity); 4 carry placeholder names (INVALID, NOT APPLICABLE, UNKNOWN, UNKNOWN-ERROR). The placeholder rows indicate an unfiltered export of an internal enumeration.

The Other (ODS) population

1,376,431 of 1,862,277 organizations (a count that includes the 36 network records) carry a third source marker — the one labeled Other (ODS) throughout this report. What the data says about it: the records span the whole country, are NPI-complete, and virtually none is referenced by any provider role — consistent with an externally sourced organization roster loaded alongside the directory rather than directory content. Provider roles reference only 14,138 distinct organizations — Medicare Advantage: 8,092. Medicaid: 6,046. Under 1% of published organizations participate in the provider graph; conformance rates on the Organization type are therefore dominated by records that never surface in a provider search.

Location duplication

The 915,339 location records collapse to 188,844 distinct street addresses (~4.8 records per address) — measured, the location table is largely the same addresses republished per practitioner context.

L. Methodology, limits, provenance

What was validated, and how

Every FHIR record captured from the plan's published Plan-Net directory (3,133,014 records, capture window 2026-08-25) was passed through the official HL7 validator (validator_cli 6.10.1) against Da Vinci PDex Plan-Net 1.2.0. No sampling. Three material facts about the setup:

Profiles were forced. The records mostly do not declare the Plan-Net profiles; they were validated against them anyway because Plan-Net is the applicable regulatory target for a payer provider directory regardless of what the records claim.
Declared foreign profiles were removed first. 2,083,449 records declared CARIN Blue Button profiles (a claims-data standard irrelevant to a directory); those declarations were stripped so records could be evaluated against the directory standard.
No terminology server. Code checks ran locally against the shipped packages (terminology snapshot hl7.terminology.r4#6.5.0); codes in systems outside those packages are reported as “uncheckable”, not as failures.

Capture method and completeness

The plan's directory does not allow deep pagination (bulk listing stops at a fixed offset), so the capture enumerated records through last-updated time windows, bisecting each window until every window returned fewer records than the server's page limit — i.e. until the published surface was exhausted for every record type. Referential findings in §J are relative to this capture: a target counted missing is one the published directory does not serve, to the completeness of this method. The capture completed 2026-08-25 and the validated population equals the captured population exactly (asserted at build time).

Unit of presentation

A finding is one defect pattern — one (record type, element, message, severity) combination — counted once per record it touches, with a repeats-per-record multiplier for array duplication. The 31,320,889 raw validator messages behind the findings are retained verbatim and every number here reproduces from them.

Lines of business

Each published record embeds a source marker (urn:source_name). Attribution covered 3,133,014 of 3,133,014 records. The third marker on organization records is a source system, not a line of business, and is never folded into either plan line. No cross-type pooled rate is reported anywhere in this document; every rate is per (record type, source).

Issue categories and exclusions

Validator messages are grouped into data-quality categories (structural, required code sets, preferred code sets) and environment / advisory categories (uncheckable codes, version stamping, validator limitations, publisher infrastructure, missing narrative). Only the data-quality categories enter grades and headline rates; the others are fully reported in §B. Version stamping is data-borne but classified separately from structural conformance so that one mechanical defect cannot set the headline structural rate for the largest record type (12,382,415 messages).

Element mapping

Validator element paths are normalized and joined to the Plan-Net element definitions, collapsing profile slice discriminators (the validator emits positional paths). Where a collapsed path spans several profile slices, the row says so, and code-set failures are attributed by the failing code set itself, which is slice-exact. Sub-elements of profiled fields that core FHIR (not the profile) defines are classed “base-FHIR element”; whole-record messages are classed “whole record”. Nothing is dropped: §D accounts for 100% of messages.

Rendering rules

Rates render in five 20-point bands with the record count always visible; no rate renders as 100.0% or 0.0%. Cells with fewer than 30 records show the exact count instead of a rate (this is a census; small cells have no sampling error, but a percentage over 1 record misleads). A cell with no records shows “no signal”. Grades (Isolated/Partial/Widespread) follow the fixed rule in §A and are never shown without the underlying rate.

What this report does not do

No certification or compliance determination of any kind.
No cross-payer comparison (single source).
No claim of a full, independent US Core validation pass. What IS measured for US Core / USCDI v3: the US Core rules Plan-Net imports (§E, rule-owner table) and USCDI v3 data-class population over the whole capture (§E, USCDI table). A standalone US Core validation run would add invariant-level detail and is the one remaining gap.
No pooled cross-type rates.

CMS-9115-F Provider Directory Quality Board

MA Plan Finder utility likely impacted

A. Summary

What matters most in this data

Records by source

B. Tests

Data-quality tests (graded)

Rate by source

Which code sets fail

Constituent findings

Rate by source

Constituent findings

Rate by source

Which code sets fail

Constituent findings

Rate by source

Constituent findings

Rate by source

Which code sets fail

Constituent findings

Rate by source

Which code sets fail

Constituent findings

Rate by source

Constituent findings

Rate by source

Which code sets fail

Constituent findings

Rate by source

Which code sets fail

Constituent findings

Rate by source

Constituent findings

Rate by source

Constituent findings

Rate by source

Which code sets fail

Constituent findings

Rate by source

Constituent findings

Environment & advisory observations (not graded, excluded from all rates above)

Rate by source

Constituent findings

Rate by source

Extension URLs involved

Constituent findings

Rate by source

Constituent findings

Rate by source

Constituent findings

Rate by source

Extension URLs involved

Constituent findings

Rate by source

Constituent findings

Rate by source

Extension URLs involved

Constituent findings

Rate by source

Constituent findings

Rate by source

Constituent findings

Rate by source

Extension URLs involved

Constituent findings

Rate by source

Constituent findings

Rate by source

Extension URLs involved

Constituent findings

Rate by source

Constituent findings

Rate by source

Constituent findings

Rate by source

Extension URLs involved

Constituent findings

Rate by source

Constituent findings

Rate by source