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FHIR IG analytics

Packageexample.fhir.uv.mycontentig
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2025-12-10T03:20:02.557+00:00",
  "entry": [
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/ImplementationGuide-example.fhir.uv.mycontentig",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-example.fhir.uv.mycontentig",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_INFER_CODESYSTEM"
              }
            ],
            "severity": "error",
            "code": "not-found",
            "details": {
              "text": "The System URI could not be determined for the code 'pin-external' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.8.0'"
            },
            "expression": [
              "ImplementationGuide/example.fhir.uv.mycontentig: ImplementationGuide.definition.extension[6].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_16"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The value provided ('pin-external') was not found in the value set 'ig-parameters Codes ValueSet' (http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.8.0), and a code is required from this value set  (error message = The System URI could not be determined for the code 'pin-external' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.8.0'; The provided code '#pin-external' was not found in the value set 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.8.0')"
            },
            "expression": [
              "ImplementationGuide/example.fhir.uv.mycontentig: ImplementationGuide.definition.extension[6].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8008
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/tools/StructureDefinition/expansion-parameters'"
            },
            "expression": [
              "ImplementationGuide/example.fhir.uv.mycontentig: ImplementationGuide.definition.extension[30].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_INFER_CODESYSTEM"
              }
            ],
            "severity": "error",
            "code": "not-found",
            "details": {
              "text": "The System URI could not be determined for the code 'pin-external' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.8.0'"
            },
            "expression": [
              "ImplementationGuide/example.fhir.uv.mycontentig: ImplementationGuide.definition.extension[38].extension[0].value.ofType(code)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_16"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The value provided ('pin-external') was not found in the value set 'ig-parameters Codes ValueSet' (http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.8.0), and a code is required from this value set  (error message = The System URI could not be determined for the code 'pin-external' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.8.0'; The provided code '#pin-external' was not found in the value set 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.8.0')"
            },
            "expression": [
              "ImplementationGuide/example.fhir.uv.mycontentig: ImplementationGuide.definition.extension[38].extension[0].value.ofType(code)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2397
              },
              {
                "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": "The ImplementationGuide uses package hl7.fhir.uv.cpg#1.0.0 released on 2021-02-11, but the most recent appropriate version is 2.0.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/example.fhir.uv.mycontentig: ImplementationGuide.dependsOn[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2700
              },
              {
                "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": "The ImplementationGuide uses package hl7.fhir.us.cqfmeasures#4.0.0 released on 2023-08-28, but the most recent appropriate version is 5.0.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/example.fhir.uv.mycontentig: ImplementationGuide.dependsOn[5]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/ActivityDefinition-DailyAppleActivity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ActivityDefinition-DailyAppleActivity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1079
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {apple} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked"
            },
            "expression": [
              "ActivityDefinition/DailyAppleActivity: ActivityDefinition.dosage[0].doseAndRate[0].dose.ofType(Quantity)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Device-cqf-tooling",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Device-cqf-tooling"
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Library-CQMCommonExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-CQMCommonExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Library/CQMCommonExample: Library.relatedArtifact[0].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4787
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition'"
            },
            "expression": [
              "Library/CQMCommonExample: Library.dataRequirement[6].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Library-DailyAppleLogic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-DailyAppleLogic",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem could not be found so is not allowed here"
            },
            "expression": [
              "Library/DailyAppleLogic: Library.extension[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1049
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem'"
            },
            "expression": [
              "Library/DailyAppleLogic: Library.extension[1].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1784
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Library/DailyAppleLogic: Library.relatedArtifact[0].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1901
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://fhir.org/guides/cqf/cpg/example/ValueSet/Apple'"
            },
            "expression": [
              "Library/DailyAppleLogic: Library.relatedArtifact[1].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://fhir.org/guides/cqf/cpg/example/ValueSet/Apple'"
            },
            "expression": [
              "Library/DailyAppleLogic: Library.dataRequirement[1].codeFilter[0].valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Library-DependencyExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-DependencyExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1660
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Library/DependencyExample: Library.relatedArtifact[0].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Library-DischargedonAntithromboticTherapyFHIRExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-DischargedonAntithromboticTherapyFHIRExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1741
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Library/DischargedonAntithromboticTherapyFHIRExample: Library.relatedArtifact[0].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5935
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested'"
            },
            "expression": [
              "Library/DischargedonAntithromboticTherapyFHIRExample: Library.dataRequirement[5].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested'"
            },
            "expression": [
              "Library/DischargedonAntithromboticTherapyFHIRExample: Library.dataRequirement[6].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Library-ExtensionAndSlicingExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-ExtensionAndSlicingExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1687
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Library/ExtensionAndSlicingExample: Library.relatedArtifact[0].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Library-FHIRHelpers",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-FHIRHelpers",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2365450
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "Library/FHIRHelpers: Library"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers vs http://hl7.org/fhir/Library/FHIRHelpers"
            },
            "expression": [
              "/scratch/repo/input/resources/library/Library-FHIRHelpers"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Library-FirstExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-FirstExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1645
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Library/FirstExample: Library.relatedArtifact[0].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Library-HIVViralSuppressionFHIRExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-HIVViralSuppressionFHIRExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Library/HIVViralSuppressionFHIRExample: Library.relatedArtifact[0].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5830
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition'"
            },
            "expression": [
              "Library/HIVViralSuppressionFHIRExample: Library.dataRequirement[1].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Library-HRExampleCVMeasureCQLLibrary",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-HRExampleCVMeasureCQLLibrary",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1693
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Library/HRExampleCVMeasureCQLLibrary: Library.relatedArtifact[0].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Library-HRExampleCohortMeasureCQLLibrary",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-HRExampleCohortMeasureCQLLibrary",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1705
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Library/HRExampleCohortMeasureCQLLibrary: Library.relatedArtifact[0].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Library-HRExampleProportionMeasureCQLLibrary",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-HRExampleProportionMeasureCQLLibrary",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1717
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Library/HRExampleProportionMeasureCQLLibrary: Library.relatedArtifact[0].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Library-HRExampleRatioMeasureCQLLibrary",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-HRExampleRatioMeasureCQLLibrary",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1702
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Library/HRExampleRatioMeasureCQLLibrary: Library.relatedArtifact[0].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Library-HybridHospitalWideMortalityFHIRExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-HybridHospitalWideMortalityFHIRExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1723
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Library/HybridHospitalWideMortalityFHIRExample: Library.relatedArtifact[0].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Library-PHQ9LogicExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-PHQ9LogicExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Library/PHQ9LogicExample: Library.relatedArtifact[0].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "ParameterDefinition.type: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/ParameterDefinition|4.0.1)"
            },
            "expression": [
              "Library/PHQ9LogicExample: Library.parameter[4]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Library-QICoreCommonExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-QICoreCommonExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1666
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Library/QICoreCommonExample: Library.relatedArtifact[0].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Library-QuestionnaireMeasureExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-QuestionnaireMeasureExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1690
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Library/QuestionnaireMeasureExample: Library.relatedArtifact[0].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Library-RetrieveExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-RetrieveExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1654
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Library/RetrieveExample: Library.relatedArtifact[0].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://utah.edu/fhir/lcs-cds/ValueSet/conditionclinical'"
            },
            "expression": [
              "Library/RetrieveExample: Library.relatedArtifact[3].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Library-SupplementalDataElementsExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-SupplementalDataElementsExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1702
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Library/SupplementalDataElementsExample: Library.relatedArtifact[0].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Library-TJCOverallExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-TJCOverallExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem could not be found so is not allowed here"
            },
            "expression": [
              "Library/TJCOverallExample: Library.extension[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1051
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem'"
            },
            "expression": [
              "Library/TJCOverallExample: Library.extension[1].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1790
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Library/TJCOverallExample: Library.relatedArtifact[0].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Measure-DischargedonAntithromboticTherapyFHIRExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Measure-DischargedonAntithromboticTherapyFHIRExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 0
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 0
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_DUPLICATE_IDS"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The XHTML  the resource contains more than one node for each of the following node ids and anchor names: qicorecommonexample-iscommunity (2x), qicorecommonexample-isdischarge (2x)"
            },
            "expression": [
              "Measure/DischargedonAntithromboticTherapyFHIRExample: Measure.text.div"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Measure/DischargedonAntithromboticTherapyFHIRExample: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[2].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25835
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition'"
            },
            "expression": [
              "Measure/DischargedonAntithromboticTherapyFHIRExample: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[4].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27985
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested'"
            },
            "expression": [
              "Measure/DischargedonAntithromboticTherapyFHIRExample: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[12].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested'"
            },
            "expression": [
              "Measure/DischargedonAntithromboticTherapyFHIRExample: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[13].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29132
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_PROF_Type"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The Profile 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance|2.0.0' definition allows for the type markdown but found type string"
            },
            "expression": [
              "Measure/DischargedonAntithromboticTherapyFHIRExample: Measure.extension[0].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements could not be found so is not allowed here"
            },
            "expression": [
              "Measure/DischargedonAntithromboticTherapyFHIRExample: Measure.extension[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29667
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements'"
            },
            "expression": [
              "Measure/DischargedonAntithromboticTherapyFHIRExample: Measure.extension[2].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30014
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
            },
            "expression": [
              "Measure/DischargedonAntithromboticTherapyFHIRExample: Measure.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30668
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
            },
            "expression": [
              "Measure/DischargedonAntithromboticTherapyFHIRExample: Measure.identifier[3].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31426
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://hl7.org/fhir/uv/cqm/ValueSet/intended-venue' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Measure/DischargedonAntithromboticTherapyFHIRExample: Measure.useContext[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31396
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/cqm/ValueSet/intended-venue'"
            },
            "expression": [
              "Measure/DischargedonAntithromboticTherapyFHIRExample: Measure.useContext[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35211
              },
              {
                "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/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
            },
            "expression": [
              "Measure/DischargedonAntithromboticTherapyFHIRExample: Measure.group[0].id"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38786
              },
              {
                "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/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (expression.contains('.').not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
            },
            "expression": [
              "Measure/DischargedonAntithromboticTherapyFHIRExample: Measure.group[0].population[5].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38786
              },
              {
                "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/Expression#exp-1"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: exp-1: 'An expression or a reference must be provided (expression.exists() or reference.exists())'"
            },
            "expression": [
              "Measure/DischargedonAntithromboticTherapyFHIRExample: Measure.group[0].population[5].criteria"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Measure-HIVViralSuppressionFHIRExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Measure-HIVViralSuppressionFHIRExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 0
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 0
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_DUPLICATE_IDS"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The XHTML  the resource contains more than one node for each of the following node ids and anchor names: qicorecommonexample-tointerval (3x)"
            },
            "expression": [
              "Measure/HIVViralSuppressionFHIRExample: Measure.text.div"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Measure/HIVViralSuppressionFHIRExample: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[0].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition'"
            },
            "expression": [
              "Measure/HIVViralSuppressionFHIRExample: Measure.contained[0]/*Library/effective-data-requirements*/.dataRequirement[2].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25853
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements could not be found so is not allowed here"
            },
            "expression": [
              "Measure/HIVViralSuppressionFHIRExample: Measure.extension[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements'"
            },
            "expression": [
              "Measure/HIVViralSuppressionFHIRExample: Measure.extension[1].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26160
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
            },
            "expression": [
              "Measure/HIVViralSuppressionFHIRExample: Measure.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26893
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
            },
            "expression": [
              "Measure/HIVViralSuppressionFHIRExample: Measure.identifier[3].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27817
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://hl7.org/fhir/uv/cqm/ValueSet/intended-venue' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Measure/HIVViralSuppressionFHIRExample: Measure.useContext[0].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27787
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/cqm/ValueSet/intended-venue'"
            },
            "expression": [
              "Measure/HIVViralSuppressionFHIRExample: Measure.useContext[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35555
              },
              {
                "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/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
            },
            "expression": [
              "Measure/HIVViralSuppressionFHIRExample: Measure.group[0].id"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37160
              },
              {
                "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/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (expression.contains('.').not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
            },
            "expression": [
              "Measure/HIVViralSuppressionFHIRExample: Measure.group[0].population[2].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37160
              },
              {
                "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/Expression#exp-1"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: exp-1: 'An expression or a reference must be provided (expression.exists() or reference.exists())'"
            },
            "expression": [
              "Measure/HIVViralSuppressionFHIRExample: Measure.group[0].population[2].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37772
              },
              {
                "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/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (expression.contains('.').not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
            },
            "expression": [
              "Measure/HIVViralSuppressionFHIRExample: Measure.group[0].population[4].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37772
              },
              {
                "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/Expression#exp-1"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: exp-1: 'An expression or a reference must be provided (expression.exists() or reference.exists())'"
            },
            "expression": [
              "Measure/HIVViralSuppressionFHIRExample: Measure.group[0].population[4].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38019
              },
              {
                "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/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. (expression.contains('.').not())' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
            },
            "expression": [
              "Measure/HIVViralSuppressionFHIRExample: Measure.group[0].population[5].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38019
              },
              {
                "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/Expression#exp-1"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: exp-1: 'An expression or a reference must be provided (expression.exists() or reference.exists())'"
            },
            "expression": [
              "Measure/HIVViralSuppressionFHIRExample: Measure.group[0].population[5].criteria"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Measure-HRExampleCVMeasure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Measure-HRExampleCVMeasure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure'"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 461
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cql-measure-cqfm'"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.meta.profile[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 535
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/elm-measure-cqfm'"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.meta.profile[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7603
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9643
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_PROF_Type"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The Profile 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance|2.0.0' definition allows for the type markdown but found type string"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.extension[0].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9642
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_MARKDOWN_HTML"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The markdown contains content that appears to be an embedded HTML tag starting at '<p'. This will (or SHOULD) be escaped by the presentation layer. The content should be checked to confirm that this is the desired behaviour"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.extension[0].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10561
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_PROF_Type"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The Profile 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance|2.0.0' definition allows for the type markdown but found type string"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.extension[1].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_MARKDOWN_HTML"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The markdown contains content that appears to be an embedded HTML tag starting at '<p'. This will (or SHOULD) be escaped by the presentation layer. The content should be checked to confirm that this is the desired behaviour"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.extension[1].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11505
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements could not be found so is not allowed here"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.extension[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11456
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements'"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.extension[3].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11635
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem could not be found so is not allowed here"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.extension[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11582
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem'"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.extension[4].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11931
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12691
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.identifier[3].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Venue' for http://terminology.hl7.org/CodeSystem/usage-context-type#venue. Valid display is 'Clinical Venue' (for the language(s) 'en-US')"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.useContext[0].code.display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13532
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://hl7.org/fhir/us/cqfmeasures/CodeSystem/intended-venue-codes' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.useContext[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13502
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/CodeSystem/intended-venue-codes'"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.useContext[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15864
              },
              {
                "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/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.group[0].id"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16443
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://unitsofmeasure.org/' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.group[0].extension[2].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16681
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'intermediate-outcome' in the CodeSystem 'http://terminology.hl7.org/CodeSystem/measure-type' version '3.0.1'"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.group[0].extension[3].value.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17676
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision could not be found so is not allowed here"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.group[0].extension[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17654
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision'"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.group[0].extension[8].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_String_WS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "value should not start or finish with whitespace '**Population Criteria 1 Description on Population Criteria Tab of MADiE UI**\\n\\n* Free text.\\n\\n* Character limit not determined.\\n\\n**QDM Equivalent: N/A**\\n\\n**Populates Summary Field in FHIR human readable**\\n\\n|                                                                        Additional MADiE Page Notes:                                                                         |\\n|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------|\\n| * Measure type selectable from drop down, multi select; for this example selected all options.                                                                              |\\n| * Population Basis selectable from drop down, single select; for this example, boolean is only one that didn't generate an error.                                           |\\n| * Scoring selectable from dropdown, single select (Cohort, Continuous Variable, Proportion and Ratio). *Note to self, changing scoring deletes all population information.* |\\n| * Aggregate Function selectable from dropdown.                                                                                                                              |\\n| * Scoring Unit free text entry.                                                                                                                                             |\\n| * Scoring Precision selectable integers.                                                                                                                                    |\\n'"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.group[0].description"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21953
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Type"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The Extension 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod' definition allows for the types [code] but found type string"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.group[0].population[3].extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26330
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26330
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Measure.identifier:versionIndependentIdentifier': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26330
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Measure.identifier:versionSpecificIdentifier': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26330
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Measure.identifier:shortName': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "_DT_Fixed_Wrong"
              }
            ],
            "severity": "error",
            "code": "value",
            "details": {
              "text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|4.0.0#Measure.status"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.status"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26330
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cql-measure-cqfm' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.meta.profile[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26330
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/elm-measure-cqfm' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Measure/HRExampleCVMeasure: Measure.meta.profile[5]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Measure-HRExampleCohortMeasure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Measure-HRExampleCohortMeasure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 147
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure'"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cql-measure-cqfm'"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.meta.profile[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 539
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/elm-measure-cqfm'"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.meta.profile[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8294
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10592
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_PROF_Type"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The Profile 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance|2.0.0' definition allows for the type markdown but found type string"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.extension[0].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10591
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_MARKDOWN_HTML"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The markdown contains content that appears to be an embedded HTML tag starting at '<p'. This will (or SHOULD) be escaped by the presentation layer. The content should be checked to confirm that this is the desired behaviour"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.extension[0].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11510
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_PROF_Type"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The Profile 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance|2.0.0' definition allows for the type markdown but found type string"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.extension[1].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11509
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_MARKDOWN_HTML"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The markdown contains content that appears to be an embedded HTML tag starting at '<p'. This will (or SHOULD) be escaped by the presentation layer. The content should be checked to confirm that this is the desired behaviour"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.extension[1].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12454
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements could not be found so is not allowed here"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.extension[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12405
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements'"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.extension[3].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12584
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem could not be found so is not allowed here"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.extension[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12531
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem'"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.extension[4].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13644
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.identifier[3].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14350
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Venue' for http://terminology.hl7.org/CodeSystem/usage-context-type#venue. Valid display is 'Clinical Venue' (for the language(s) 'en-US')"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.useContext[0].code.display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14493
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://hl7.org/fhir/us/cqfmeasures/CodeSystem/intended-venue-codes' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.useContext[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14463
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/CodeSystem/intended-venue-codes'"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.useContext[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16829
              },
              {
                "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/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.group[0].id"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://unitsofmeasure.org/' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.group[0].extension[2].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17620
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'intermediate-outcome' in the CodeSystem 'http://terminology.hl7.org/CodeSystem/measure-type' version '3.0.1'"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.group[0].extension[3].value.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18956
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision could not be found so is not allowed here"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.group[0].extension[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision'"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.group[0].extension[9].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21323
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_String_WS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "value should not start or finish with whitespace '**Population Criteria 1 Description on Population Criteria Tab of MADiE UI**\\n\\n* Free text.\\n\\n* Character limit not determined.\\n\\n**QDM Equivalent: N/A**\\n\\n**Populates Summary Field in FHIR human readable**\\n\\n|                                                                        Additional MADiE Page Notes:                                                                         |\\n|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------|\\n| * Measure type selectable from drop down, multi select; for this example selected all options.                                                                              |\\n| * Population Basis selectable from drop down, single select; for this example, boolean is only one that didn't generate an error.                                           |\\n| * Scoring selectable from dropdown, single select (Cohort, Continuous Variable, Proportion and Ratio). *Note to self, changing scoring deletes all population information.* |\\n| * Aggregate Function selectable from dropdown.                                                                                                                              |\\n| * Scoring Unit free text entry.                                                                                                                                             |\\n| * Scoring Precision selectable integers.                                                                                                                                    |\\n'"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.group[0].description"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23552
              },
              {
                "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/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.group[1].id"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24105
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://unitsofmeasure.org/' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.group[1].extension[2].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24343
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'intermediate-outcome' in the CodeSystem 'http://terminology.hl7.org/CodeSystem/measure-type' version '3.0.1'"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.group[1].extension[3].value.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25679
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision could not be found so is not allowed here"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.group[1].extension[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision'"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.group[1].extension[9].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23536
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22712
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "A measure group stratifier should have a code when there is more than one population"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.group[0].stratifier[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22711
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The expression language text/cql-identifier is not supported, so can't be validated"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.group[0].stratifier[0].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23534
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "A measure group stratifier should have a code when there is more than one population"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.group[0].stratifier[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23533
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The expression language text/cql-identifier is not supported, so can't be validated"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.group[0].stratifier[1].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28659
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33231
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33231
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Measure.identifier:versionIndependentIdentifier': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33231
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Measure.identifier:versionSpecificIdentifier': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33231
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Measure.identifier:shortName': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "_DT_Fixed_Wrong"
              }
            ],
            "severity": "error",
            "code": "value",
            "details": {
              "text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|4.0.0#Measure.status"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.status"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33231
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cql-measure-cqfm' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.meta.profile[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33231
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/elm-measure-cqfm' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Measure/HRExampleCohortMeasure: Measure.meta.profile[5]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Measure-HRExampleProportionMeasure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Measure-HRExampleProportionMeasure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure'"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 469
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cql-measure-cqfm'"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.meta.profile[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 543
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/elm-measure-cqfm'"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.meta.profile[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14842
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_PROF_Type"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The Profile 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance|2.0.0' definition allows for the type markdown but found type string"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.extension[0].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14841
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_MARKDOWN_HTML"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The markdown contains content that appears to be an embedded HTML tag starting at '<p'. This will (or SHOULD) be escaped by the presentation layer. The content should be checked to confirm that this is the desired behaviour"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.extension[0].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15760
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_PROF_Type"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The Profile 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance|2.0.0' definition allows for the type markdown but found type string"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.extension[1].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15759
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_MARKDOWN_HTML"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The markdown contains content that appears to be an embedded HTML tag starting at '<p'. This will (or SHOULD) be escaped by the presentation layer. The content should be checked to confirm that this is the desired behaviour"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.extension[1].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16704
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements could not be found so is not allowed here"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.extension[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16655
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements'"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.extension[3].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16834
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem could not be found so is not allowed here"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.extension[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16781
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem'"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.extension[4].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17898
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.identifier[3].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18612
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Venue' for http://terminology.hl7.org/CodeSystem/usage-context-type#venue. Valid display is 'Clinical Venue' (for the language(s) 'en-US')"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.useContext[0].code.display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18755
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://hl7.org/fhir/us/cqfmeasures/CodeSystem/intended-venue-codes' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.useContext[0].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18725
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/CodeSystem/intended-venue-codes'"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.useContext[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20753
              },
              {
                "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/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.group[0].id"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21314
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://unitsofmeasure.org/' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.group[0].extension[2].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'intermediate-outcome' in the CodeSystem 'http://terminology.hl7.org/CodeSystem/measure-type' version '3.0.1'"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.group[0].extension[3].value.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision could not be found so is not allowed here"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.group[0].extension[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22866
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision'"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.group[0].extension[9].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32744
              },
              {
                "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/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.group[1].id"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33326
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'intermediate-outcome' in the CodeSystem 'http://terminology.hl7.org/CodeSystem/measure-type' version '3.0.1'"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.group[1].extension[2].value.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32728
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30697
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "A measure group stratifier should have a code when there is more than one population"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.group[0].stratifier[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30696
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The expression language text/cql-identifier is not supported, so can't be validated"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.group[0].stratifier[0].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32726
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "A measure group stratifier should have a code when there is more than one population"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.group[0].stratifier[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32725
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The expression language text/cql-identifier is not supported, so can't be validated"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.group[0].stratifier[1].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43752
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Groups should have codes when there is more than one group"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 41722
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "A measure group stratifier should have a code when there is more than one population"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.group[1].stratifier[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 41721
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The expression language text/cql-identifier is not supported, so can't be validated"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.group[1].stratifier[0].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43750
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "A measure group stratifier should have a code when there is more than one population"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.group[1].stratifier[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43749
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The expression language text/cql-identifier is not supported, so can't be validated"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.group[1].stratifier[1].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48324
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48324
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Measure.identifier:versionIndependentIdentifier': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48324
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Measure.identifier:versionSpecificIdentifier': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48324
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Measure.identifier:shortName': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "_DT_Fixed_Wrong"
              }
            ],
            "severity": "error",
            "code": "value",
            "details": {
              "text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|4.0.0#Measure.status"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.status"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48324
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cql-measure-cqfm' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.meta.profile[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48324
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/elm-measure-cqfm' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Measure/HRExampleProportionMeasure: Measure.meta.profile[5]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Measure-HRExampleRatioMeasure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Measure-HRExampleRatioMeasure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 146
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure'"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cql-measure-cqfm'"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.meta.profile[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 538
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/elm-measure-cqfm'"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.meta.profile[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9281
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_PROF_Type"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The Profile 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance|2.0.0' definition allows for the type markdown but found type string"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.extension[0].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_MARKDOWN_HTML"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The markdown contains content that appears to be an embedded HTML tag starting at '<p'. This will (or SHOULD) be escaped by the presentation layer. The content should be checked to confirm that this is the desired behaviour"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.extension[0].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_PROF_Type"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The Profile 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance|2.0.0' definition allows for the type markdown but found type string"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.extension[1].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12715
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_MARKDOWN_HTML"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The markdown contains content that appears to be an embedded HTML tag starting at '<p'. This will (or SHOULD) be escaped by the presentation layer. The content should be checked to confirm that this is the desired behaviour"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.extension[1].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13660
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements could not be found so is not allowed here"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.extension[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13611
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements'"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.extension[3].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13790
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem could not be found so is not allowed here"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.extension[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13737
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem'"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.extension[4].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14849
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cbeId'"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.identifier[3].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Venue' for http://terminology.hl7.org/CodeSystem/usage-context-type#venue. Valid display is 'Clinical Venue' (for the language(s) 'en-US')"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.useContext[0].code.display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15696
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://hl7.org/fhir/us/cqfmeasures/CodeSystem/intended-venue-codes' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.useContext[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15666
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/CodeSystem/intended-venue-codes'"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.useContext[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18135
              },
              {
                "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/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.group[0].id"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18686
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://unitsofmeasure.org/' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.group[0].extension[2].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18924
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'intermediate-outcome' in the CodeSystem 'http://terminology.hl7.org/CodeSystem/measure-type' version '3.0.1'"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.group[0].extension[3].value.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19919
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision could not be found so is not allowed here"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.group[0].extension[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19897
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision'"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.group[0].extension[8].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "A measure group stratifier should have a code when there is more than one population"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.group[0].stratifier[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26079
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The expression language text/cql-identifier is not supported, so can't be validated"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.group[0].stratifier[0].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_GROUP_STRATA_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "A measure group stratifier should have a code when there is more than one population"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.group[0].stratifier[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26883
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "MEASURE_M_CRITERIA_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "The expression language text/cql-identifier is not supported, so can't be validated"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.group[0].stratifier[1].criteria"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Measure.identifier:versionIndependentIdentifier': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Measure.identifier:versionSpecificIdentifier': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Measure.identifier:shortName': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15067
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "_DT_Fixed_Wrong"
              }
            ],
            "severity": "error",
            "code": "value",
            "details": {
              "text": "Value is 'draft' but is fixed to 'active' in the profile http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm|4.0.0#Measure.status"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.status"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cql-measure-cqfm' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.meta.profile[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/elm-measure-cqfm' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.meta.profile[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26886
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Measure.group.population:measureObservation': a matching slice is required, but not found (from http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/ratio-measure-cqfm|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Measure/HRExampleRatioMeasure: Measure.group[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Measure-HybridHospitalWideMortalityFHIRExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Measure-HybridHospitalWideMortalityFHIRExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 445
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Inpatient' for http://terminology.hl7.org/CodeSystem/v3-ActCode#IMP. Valid display is 'inpatient encounter' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "Measure/HybridHospitalWideMortalityFHIRExample: Measure.contained[0]/*Library/effective-data-requirements*/.extension[0].value.ofType(Coding).display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 628
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Acute' for http://terminology.hl7.org/CodeSystem/v3-ActCode#ACUTE. Valid display is 'inpatient acute' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "Measure/HybridHospitalWideMortalityFHIRExample: Measure.contained[0]/*Library/effective-data-requirements*/.extension[1].value.ofType(Coding).display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 814
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Nonacute' for http://terminology.hl7.org/CodeSystem/v3-ActCode#NONAC. Valid display is 'inpatient non-acute' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "Measure/HybridHospitalWideMortalityFHIRExample: Measure.contained[0]/*Library/effective-data-requirements*/.extension[2].value.ofType(Coding).display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Measure/HybridHospitalWideMortalityFHIRExample: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23988
              },
              {
                "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/Extension#ext-1"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: ext-1: 'Must have either extensions or value[x], not both (extension.exists() != value.exists())' (defined in http://hl7.org/fhir/StructureDefinition/Extension)"
            },
            "expression": [
              "Measure/HybridHospitalWideMortalityFHIRExample: Measure.extension[0].extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements could not be found so is not allowed here"
            },
            "expression": [
              "Measure/HybridHospitalWideMortalityFHIRExample: Measure.extension[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24523
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements'"
            },
            "expression": [
              "Measure/HybridHospitalWideMortalityFHIRExample: Measure.extension[2].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://madie.cms.gov/measure/shortName'"
            },
            "expression": [
              "Measure/HybridHospitalWideMortalityFHIRExample: Measure.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://madie.cms.gov/measure/nqfId'"
            },
            "expression": [
              "Measure/HybridHospitalWideMortalityFHIRExample: Measure.identifier[3].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25737
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://madie.cms.gov/measure/cmsId'"
            },
            "expression": [
              "Measure/HybridHospitalWideMortalityFHIRExample: Measure.identifier[4].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35522
              },
              {
                "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/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-3"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cqm-3: 'Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group (startsWith('group-'))' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
            },
            "expression": [
              "Measure/HybridHospitalWideMortalityFHIRExample: Measure.group[0].id"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Measure-QuestionnaireMeasureExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Measure-QuestionnaireMeasureExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 0
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 0
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_DUPLICATE_IDS"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The XHTML  the resource contains more than one node for each of the following node ids and anchor names: fhirhelpers-tostring (2x)"
            },
            "expression": [
              "Measure/QuestionnaireMeasureExample: Measure.text.div"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6492
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1'"
            },
            "expression": [
              "Measure/QuestionnaireMeasureExample: Measure.contained[0]/*Library/effective-data-requirements*/.relatedArtifact[1].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements could not be found so is not allowed here"
            },
            "expression": [
              "Measure/QuestionnaireMeasureExample: Measure.extension[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements'"
            },
            "expression": [
              "Measure/QuestionnaireMeasureExample: Measure.extension[1].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9687
              },
              {
                "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/us/cqfmeasures/StructureDefinition/computable-measure-cqfm#cmp-1"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cmp-1: 'Population basis must be specified at the root, or on each group (extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists()).allTrue())'"
            },
            "expression": [
              "Measure/QuestionnaireMeasureExample: Measure"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Parameters-manifest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Parameters-manifest"
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/PlanDefinition-DailyAppleRecommendation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PlanDefinition-DailyAppleRecommendation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 643
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements could not be found so is not allowed here"
            },
            "expression": [
              "PlanDefinition/DailyAppleRecommendation: PlanDefinition.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 594
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements'"
            },
            "expression": [
              "PlanDefinition/DailyAppleRecommendation: PlanDefinition.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Expression.language: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/Expression|4.0.1)"
            },
            "expression": [
              "PlanDefinition/DailyAppleRecommendation: PlanDefinition.action[0].condition[0].expression"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://somewhere.org/fhir/uv/mycontentig/OperationOutcome/Questionnaire-phq-9-questionnaire",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Questionnaire-phq-9-questionnaire"
      }
    }
  ]
}