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FHIR IG analytics

Packagebr.go.ses.exame
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR4

Resources that use this resource

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Resources that this resource uses

No resources found


Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2026-04-15T19:53:00.865+00:00",
  "entry": [
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/ImplementationGuide-br.go.ses.exame",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-br.go.ses.exame",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1631
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING_OLD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "O Guia de Implementação utiliza o pacote hl7.terminology.r4#6.5.0 lançado em 2025-07-07, mas a versão apropriada mais recente é 7.1.0. Esta referência está a ficar velha e a versão mais recente deve ser considerada"
            },
            "expression": [
              "ImplementationGuide/br.go.ses.exame: ImplementationGuide.dependsOn[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/Bundle-hemograma-completo",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-hemograma-completo",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[0].resource/*ServiceRequest/a1b2c3d4-e5f6-7890-abcd-ef1234567890*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 64
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[1].resource/*Observation/exame-composto*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 64
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[1].resource/*Observation/exame-composto*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[2].resource/*Observation/hemacias*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[2].resource/*Observation/hemacias*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 438
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[3].resource/*Observation/hemoglobina*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 438
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[3].resource/*Observation/hemoglobina*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 603
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[4].resource/*Observation/hematocrito*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 603
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[4].resource/*Observation/hematocrito*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 768
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[5].resource/*Observation/vcm*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 768
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[5].resource/*Observation/vcm*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 933
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[6].resource/*Observation/hcm*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 933
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[6].resource/*Observation/hcm*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1098
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[7].resource/*Observation/chcm*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1098
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[7].resource/*Observation/chcm*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[8].resource/*Observation/rdw*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[8].resource/*Observation/rdw*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[9].resource/*Observation/leucocitos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[9].resource/*Observation/leucocitos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[10].resource/*Observation/promielocitos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[10].resource/*Observation/promielocitos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1758
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[11].resource/*Observation/mielocitos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1758
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[11].resource/*Observation/mielocitos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[12].resource/*Observation/metamielocitos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[12].resource/*Observation/metamielocitos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2088
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[13].resource/*Observation/bastonetes*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2088
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[13].resource/*Observation/bastonetes*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2253
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[14].resource/*Observation/segmentados*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2253
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[14].resource/*Observation/segmentados*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[15].resource/*Observation/monocitos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[15].resource/*Observation/monocitos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[16].resource/*Observation/eosinofilos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[16].resource/*Observation/eosinofilos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2748
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[17].resource/*Observation/basofilos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2748
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[17].resource/*Observation/basofilos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2913
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[18].resource/*Observation/linfocitos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2913
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[18].resource/*Observation/linfocitos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[19].resource/*Observation/linfocitosatipicos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[19].resource/*Observation/linfocitosatipicos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[20].resource/*Observation/prolinfocitos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[20].resource/*Observation/prolinfocitos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3408
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[21].resource/*Observation/blastos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3408
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[21].resource/*Observation/blastos*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[22].resource/*Observation/plaquetas*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[22].resource/*Observation/plaquetas*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3738
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[23].resource/*Observation/plaquetocrito*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3738
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[23].resource/*Observation/plaquetocrito*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[24].resource/*Observation/vpm*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[24].resource/*Observation/vpm*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4068
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[25].resource/*Observation/pdw*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4068
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/hemograma-completo: Bundle.entry[25].resource/*Observation/pdw*/"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/CapabilityStatement-server",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-server"
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/CodeSystem-exames-gal",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-exames-gal"
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/CodeSystem-populacao-alvo",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-populacao-alvo"
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/CodeSystem-regiao-conselho-profissional",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-regiao-conselho-profissional"
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/NamingSystem-exames-gal",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "NamingSystem-exames-gal"
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/NamingSystem-populacao-alvo",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "NamingSystem-populacao-alvo"
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/NamingSystem-regiao-conselho-profissional",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "NamingSystem-regiao-conselho-profissional"
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/NamingSystem-romulo-rocha",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "NamingSystem-romulo-rocha",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/NamingSystem#nsd-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: nsd-0"
            },
            "expression": [
              "NamingSystem/romulo-rocha: NamingSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/Observation-exame-composto",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-exame-composto",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Observation/exame-composto: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Observation/exame-composto: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/Observation-hemacias",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-hemacias",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Observation/hemacias: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Observation/hemacias: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/Observation-hematocrito",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-hematocrito",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Observation/hematocrito: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Observation/hematocrito: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/Observation-hemoglobina",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-hemoglobina",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Observation/hemoglobina: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Recomendação de boas práticas: Em geral, todas as observações devem ter um efetivo[x] ()"
            },
            "expression": [
              "Observation/hemoglobina: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/ServiceRequest-a1b2c3d4-e5f6-7890-abcd-ef1234567890",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-a1b2c3d4-e5f6-7890-abcd-ef1234567890"
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/Specimen-amostra",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Specimen-amostra",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "A restrição falhou: dom-6 (definido em A resource should have narrative for robust management (text.`div`.exists())) (Best Practice Recommendation)"
            },
            "expression": [
              "Specimen/amostra: Specimen"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/StructureDefinition-amostra",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-amostra"
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/StructureDefinition-conselho-profissional",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-conselho-profissional"
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/StructureDefinition-estabelecimento-solicitante",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-estabelecimento-solicitante",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/estabelecimento-solicitante')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/StructureDefinition-exame-composto",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-exame-composto"
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/StructureDefinition-exame-simples",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-exame-simples"
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/StructureDefinition-hemograma",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-hemograma"
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/StructureDefinition-imagens-exame",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-imagens-exame",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/imagens-exame')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/StructureDefinition-laudo-exame",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-laudo-exame",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 60634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "FHIRPATH_COLLECTION_STATUS_OPERATION_RIGHT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "DataConclusaoExamePosteriorDataSolicitacaoExame: O lado direito é inerentemente uma coleção, pelo que esta expressão 'issued > basedOn.resolve().authoredOn' pode falhar ou devolver falso se houver mais do que um item no conteúdo que está a ser avaliado"
            },
            "expression": [
              "StructureDefinition/laudo-exame: StructureDefinition.snapshot.element[0].constraint[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/laudo-exame')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/StructureDefinition-malote",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-malote",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/malote')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/StructureDefinition-solicitacao-exame-imagem-laudo",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-solicitacao-exame-imagem-laudo",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/solicitacao-exame-imagem-laudo')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/StructureDefinition-suspeita-diagnostica-investigada",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-suspeita-diagnostica-investigada"
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/StructureDefinition-transferencia",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-transferencia",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/transferencia')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/ValueSet-exame-imagem-laudo-conclusion-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-exame-imagem-laudo-conclusion-code"
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/ValueSet-exame",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-exame",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2313
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Os conjuntos de valores publicados DEVERÃO estar em conformidade com o perfil ShareableValueSet, que diz que o elemento ValueSet.description é obrigatório, mas não está presente"
            },
            "expression": [
              "ValueSet/exame: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/ValueSet-populacao-alvo",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-populacao-alvo"
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/ValueSet-regiao-conselho-profissional",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-regiao-conselho-profissional"
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/ValueSet-resultado-qualitativo-exame",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-resultado-qualitativo-exame",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1319
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Os conjuntos de valores publicados DEVERÃO estar em conformidade com o perfil ShareableValueSet, que diz que o elemento ValueSet.description é obrigatório, mas não está presente"
            },
            "expression": [
              "ValueSet/resultado-qualitativo-exame: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir.saude.go.gov.br/r4/exame/OperationOutcome/ValueSet-tipo-amostra-biologica",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-tipo-amostra-biologica"
      }
    }
  ]
}