Validation: Invalid reference in bundle not catched

[oliveregger]

At the IHE Connectathon we have seen IPS bundles where the reference in MedicationStatement looks incorrect (a relative reference is provided, however the fullUrl of the bundle entry is an uuid). See https://build.fhir.org/bundle.html#references

The matchbox and validator however do not provide an error.

{
    "resourceType": "Bundle",
    "type": "searchset",
    "timestamp": "2023-09-25T13:19:13.502Z",
    "entry": [
        {
            "fullUrl": "urn:uuid:78844a8e-f51a-4146-80a6-254af490e559",
            "resource": {
                "resourceType": "MedicationStatement",
                "status": "active",
                "medicationReference": {
                    "reference": "Medication/18a84917709-65e30eed-32cb-44fb-932a-ea29a3e4b51f",
                    "display": "rivaroxaban 20 mg oral tablet"
                },
                "subject": {
                    "reference": "Patient/e192aa18-ee13-4af9-8bb2-818a92d9c5ae",
                    "display": "Charles Merlot"
                }
            }
        }   
    ]
}

FHIR Validation tool Version 6.1.5 (Git# a09216c6e85d). Built 2023-09-11T01:26:41.34Z (15 days old)
Java: 20.0.1 from /opt/homebrew/Cellar/openjdk/20.0.1/libexec/openjdk.jdk/Contents/Home on aarch64 (64bit). 8192MB available
Paths: Current = /Users/oegger/Desktop/connectathon, Package Cache = /Users/oegger/.fhir/packages
Params: /Users/oegger/Desktop/connectathon/ips.json -version 4.0.1
Locale: Switzerland/CH
Jurisdiction: Switzerland
Loading
Load FHIR v4.0 from hl7.fhir.r4.core#4.0.1 - 4576 resources (00:03.350)
Load hl7.fhir.uv.extensions.r4#1.0.0 - 1328 resources (00:00.272)
Load hl7.terminology#5.3.0 - 4201 resources (00:00.858)
Load hl7.terminology.r5#5.0.0 - 4174 resources (00:00.470)
Load hl7.fhir.uv.extensions#1.0.0 - 1328 resources (00:00.010)
Terminology server http://tx.fhir.org - Version 3.0.0 (00:00.936)
Package Summary: [hl7.fhir.r4.core#4.0.1, hl7.fhir.xver-extensions#0.0.12, hl7.fhir.uv.extensions.r4#1.0.0, hl7.terminology#5.3.0, hl7.terminology.r5#5.0.0, hl7.fhir.uv.extensions#1.0.0]
Get set... go (00:02.322)
Validating
Validate /Users/oegger/Desktop/connectathon/ips.json
Validate Bundle against http://hl7.org/fhir/StructureDefinition/Bundle|4.0.1..........20..........40..........60..........80.........|
00:00.093
Done. Times: Loading: 00:08.345, validation: 00:00.093. Memory = 385Mb

Success: 0 errors, 4 warnings, 0 notes
Warning @ Bundle.entry[0].resource (line 1, col2): Search results must have ids
Warning @ Bundle (line 1, col2): SearchSet Bundles should have a self link that specifies what the search was
Warning @ Bundle (line 1, col2): SearchSet bundles should have search modes on the entries
Warning @ Bundle.entry[0].resource/MedicationStatement/null/ (line 8, col14): Rule dom-6: 'A resource should have narrative for robust management' Failed (Best Practice Recommendation)
Done. Times: Loading: 00:08.345, validation: 00:00.093. Max Memory = 8Gb
oegger@Olivers-MacBook-Pro connectathon %

[oliveregger]

should be catched with latest validator