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Packagefhir.astp.us-quality-core
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR4

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Narrative

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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2026-03-25T17:51:27.920+00:00",
  "entry": [
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ImplementationGuide-us-quality-core",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-us-quality-core",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2424
              },
              {
                "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.core#6.1.0 released on 2023-06-30, but the most recent appropriate version is 8.0.1. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/us-quality-core: ImplementationGuide.dependsOn[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2707
              },
              {
                "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.terminology#5.4.0 released on 2023-11-17, but the most recent appropriate version is 7.1.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/us-quality-core: ImplementationGuide.dependsOn[3]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-adverseevent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-adverseevent"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-allergyintolerance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-allergyintolerance",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51710
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0 (from hl7.fhir.uv.extensions.r4#1.0.0), 4.0.1 (from hl7.fhir.r4.core#4.0.1), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge' to 'http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge|5.2.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-allergyintolerance: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 95706
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0 (from hl7.fhir.uv.extensions.r4#1.0.0), 4.0.1 (from hl7.fhir.r4.core#4.0.1), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge' to 'http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge|5.2.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-allergyintolerance: StructureDefinition.differential.element[1].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-bodystructure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-bodystructure"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-careplan",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-careplan"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-careteam",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-careteam"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-claim",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-claim",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 134619
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/POAIndicators'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '2.0.0', found versions: 1.0.0 (from hl7.terminology.r4#5.0.0), 2.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/POAIndicators' to 'http://terminology.hl7.org/ValueSet/POAIndicators|2.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-claim: StructureDefinition.snapshot.element[65].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 166484
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActIncidentCode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActIncidentCode' to 'http://terminology.hl7.org/ValueSet/v3-ActIncidentCode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-claim: StructureDefinition.snapshot.element[92].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 229177
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/POAIndicators'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '2.0.0', found versions: 1.0.0 (from hl7.terminology.r4#5.0.0), 2.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/POAIndicators' to 'http://terminology.hl7.org/ValueSet/POAIndicators|2.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-claim: StructureDefinition.differential.element[14].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-claimresponse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-claimresponse"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-communication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-communication",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48666
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ParticipationMode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ParticipationMode' to 'http://terminology.hl7.org/ValueSet/v3-ParticipationMode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-communication: StructureDefinition.snapshot.element[19].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 50324
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/communication-topic'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '1.0.0', found versions: 0.1.0 (from hl7.terminology.r4#5.0.0), 1.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/communication-topic' to 'http://terminology.hl7.org/ValueSet/communication-topic|1.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-communication: StructureDefinition.snapshot.element[21].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66578
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/communication-topic'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '1.0.0', found versions: 0.1.0 (from hl7.terminology.r4#5.0.0), 1.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/communication-topic' to 'http://terminology.hl7.org/ValueSet/communication-topic|1.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-communication: StructureDefinition.differential.element[3].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-communicationnotdone",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-communicationnotdone",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51006
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ParticipationMode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ParticipationMode' to 'http://terminology.hl7.org/ValueSet/v3-ParticipationMode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-communicationnotdone: StructureDefinition.snapshot.element[20].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-communicationrequest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-communicationrequest",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48721
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ParticipationMode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ParticipationMode' to 'http://terminology.hl7.org/ValueSet/v3-ParticipationMode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-communicationrequest: StructureDefinition.snapshot.element[18].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64570
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActReason'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActReason' to 'http://terminology.hl7.org/ValueSet/v3-ActReason|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-communicationrequest: StructureDefinition.snapshot.element[32].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-condition-encounter-diagnosis",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-condition-encounter-diagnosis",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47909
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0 (from hl7.fhir.uv.extensions.r4#1.0.0), 4.0.1 (from hl7.fhir.r4.core#4.0.1), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate' to 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.2.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-condition-encounter-diagnosis: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-condition-problems-health-concerns",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-condition-problems-health-concerns",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 54739
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0 (from hl7.fhir.uv.extensions.r4#1.0.0), 4.0.1 (from hl7.fhir.r4.core#4.0.1), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate' to 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.2.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-condition-problems-health-concerns: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-coverage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-coverage"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-device",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-device"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-devicenotrequested",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-devicenotrequested"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-devicerequest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-devicerequest"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-deviceusestatement",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-deviceusestatement"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-diagnosticreport-lab",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-diagnosticreport-lab"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-diagnosticreport-note",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-diagnosticreport-note"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-encounter",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90633
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode' to 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-encounter: StructureDefinition.snapshot.element[25].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 97655
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode' to 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-encounter: StructureDefinition.snapshot.element[30].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 101595
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActPriority'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActPriority' to 'http://terminology.hl7.org/ValueSet/v3-ActPriority|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-encounter: StructureDefinition.snapshot.element[34].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 147583
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/clinical-discharge-disposition'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '2.0.0', found versions: 1.0.0 (from hl7.terminology.r4#5.0.0), 2.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/clinical-discharge-disposition' to 'http://terminology.hl7.org/ValueSet/clinical-discharge-disposition|2.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-encounter: StructureDefinition.snapshot.element[70].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 167601
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/clinical-discharge-disposition'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '2.0.0', found versions: 1.0.0 (from hl7.terminology.r4#5.0.0), 2.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/clinical-discharge-disposition' to 'http://terminology.hl7.org/ValueSet/clinical-discharge-disposition|2.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-encounter: StructureDefinition.differential.element[19].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-familymemberhistory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-familymemberhistory",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57196
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-FamilyMember'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-FamilyMember' to 'http://terminology.hl7.org/ValueSet/v3-FamilyMember|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-familymemberhistory: StructureDefinition.snapshot.element[17].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 68912
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0 (from hl7.fhir.uv.extensions.r4#1.0.0), 4.0.1 (from hl7.fhir.r4.core#4.0.1), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement' to 'http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement|5.2.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-familymemberhistory: StructureDefinition.snapshot.element[29].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 69902
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0 (from hl7.fhir.uv.extensions.r4#1.0.0), 4.0.1 (from hl7.fhir.r4.core#4.0.1), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity' to 'http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity|5.2.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-familymemberhistory: StructureDefinition.snapshot.element[30].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78754
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-FamilyMember'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-FamilyMember' to 'http://terminology.hl7.org/ValueSet/v3-FamilyMember|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-familymemberhistory: StructureDefinition.differential.element[3].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79346
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0 (from hl7.fhir.uv.extensions.r4#1.0.0), 4.0.1 (from hl7.fhir.r4.core#4.0.1), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement' to 'http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement|5.2.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-familymemberhistory: StructureDefinition.differential.element[7].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79647
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0 (from hl7.fhir.uv.extensions.r4#1.0.0), 4.0.1 (from hl7.fhir.r4.core#4.0.1), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity' to 'http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity|5.2.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-familymemberhistory: StructureDefinition.differential.element[8].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-flag",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-flag"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-goal",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-goal"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-imagingstudy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-imagingstudy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 62658
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://www.rsna.org/RadLex_Playbook.aspx'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-imagingstudy: StructureDefinition.snapshot.element[22].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100009
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-imagingstudy: StructureDefinition.snapshot.element[53].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'ImagingStudy.series.performer.function' binds to the value set 'http://hl7.org/fhir/ValueSet/series-performer-function|4.0.1' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/us-quality-core-imagingstudy: StructureDefinition.snapshot.element[46].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-immunization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-immunization"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-immunizationevaluation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-immunizationevaluation"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-immunizationnotdone",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-immunizationnotdone"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-immunizationrecommendation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-immunizationrecommendation"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-location",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-location",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43088
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType' to 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-location: StructureDefinition.snapshot.element[16].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-medication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-medication"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-medicationadministration",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-medicationadministration"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-medicationadministrationnotdone",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-medicationadministrationnotdone"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-medicationdispense",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-medicationdispense",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 84829
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType' to 'http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-medicationdispense: StructureDefinition.snapshot.element[26].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 133180
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode' to 'http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-medicationdispense: StructureDefinition.snapshot.element[61].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 134470
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason' to 'http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-medicationdispense: StructureDefinition.snapshot.element[62].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 140719
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType' to 'http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-medicationdispense: StructureDefinition.differential.element[5].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-medicationdispensedeclined",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-medicationdispensedeclined",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90394
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType' to 'http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-medicationdispensedeclined: StructureDefinition.snapshot.element[30].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 136980
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode' to 'http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-medicationdispensedeclined: StructureDefinition.snapshot.element[65].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 138270
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason' to 'http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-medicationdispensedeclined: StructureDefinition.snapshot.element[66].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-medicationnotrequested",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-medicationnotrequested",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 173249
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode' to 'http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-medicationnotrequested: StructureDefinition.snapshot.element[83].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 174569
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason' to 'http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-medicationnotrequested: StructureDefinition.snapshot.element[84].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-medicationrequest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-medicationrequest",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 214905
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode' to 'http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-medicationrequest: StructureDefinition.snapshot.element[101].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 216225
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason' to 'http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-medicationrequest: StructureDefinition.snapshot.element[102].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-medicationstatement",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-medicationstatement"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-nonpatient-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-nonpatient-observation"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-nutritionorder",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-nutritionorder"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-observation-clinical-result",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-observation-clinical-result"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-observation-lab",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-observation-lab"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-observation-screening-assessment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-observation-screening-assessment"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-observationcancelled",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-observationcancelled"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-organization",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 114769
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'CLIA' on path 'Organization.identifier' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/us-quality-core-organization: StructureDefinition.snapshot"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 114769
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'NAIC' on path 'Organization.identifier' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/us-quality-core-organization: StructureDefinition.snapshot"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-patient",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 114051
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://fhir.org/guides/astp/us-quality-core/StructureDefinition/uscore-requirement could not be found so is not allowed here"
            },
            "expression": [
              "StructureDefinition/us-quality-core-patient: StructureDefinition.snapshot.element[28].extension[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 114030
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://fhir.org/guides/astp/us-quality-core/StructureDefinition/uscore-requirement'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-patient: StructureDefinition.snapshot.element[28].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": 127235
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/iso21090-preferred'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0 (from hl7.fhir.uv.extensions.r4#1.0.0), 4.0.1 (from hl7.fhir.r4.core#4.0.1), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/iso21090-preferred' to 'http://hl7.org/fhir/StructureDefinition/iso21090-preferred|5.2.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-patient: StructureDefinition.snapshot.element[38].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 143578
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/iso21090-preferred'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0 (from hl7.fhir.uv.extensions.r4#1.0.0), 4.0.1 (from hl7.fhir.r4.core#4.0.1), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/iso21090-preferred' to 'http://hl7.org/fhir/StructureDefinition/iso21090-preferred|5.2.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-patient: StructureDefinition.snapshot.element[50].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 199286
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://fhir.org/guides/astp/us-quality-core/StructureDefinition/uscore-requirement could not be found so is not allowed here"
            },
            "expression": [
              "StructureDefinition/us-quality-core-patient: StructureDefinition.differential.element[8].extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 199265
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://fhir.org/guides/astp/us-quality-core/StructureDefinition/uscore-requirement'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-patient: StructureDefinition.differential.element[8].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": 203131
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/iso21090-preferred'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0 (from hl7.fhir.uv.extensions.r4#1.0.0), 4.0.1 (from hl7.fhir.r4.core#4.0.1), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/iso21090-preferred' to 'http://hl7.org/fhir/StructureDefinition/iso21090-preferred|5.2.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-patient: StructureDefinition.differential.element[14].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 205802
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/iso21090-preferred'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0 (from hl7.fhir.uv.extensions.r4#1.0.0), 4.0.1 (from hl7.fhir.r4.core#4.0.1), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/iso21090-preferred' to 'http://hl7.org/fhir/StructureDefinition/iso21090-preferred|5.2.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-patient: StructureDefinition.differential.element[21].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-practitioner",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-practitioner"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-practitionerrole",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-practitionerrole"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-procedure"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-procedurenotdone",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-procedurenotdone"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-questionnaireresponse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-questionnaireresponse",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45957
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0 (from hl7.fhir.uv.extensions.r4#1.0.0), 4.0.1 (from hl7.fhir.r4.core#4.0.1), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature' to 'http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.2.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-questionnaireresponse: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47040
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0 (from hl7.fhir.uv.extensions.r4#1.0.0), 4.0.1 (from hl7.fhir.r4.core#4.0.1), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode' to 'http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode|5.2.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-questionnaireresponse: StructureDefinition.snapshot.element[9].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56931
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/display'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0 (from hl7.fhir.uv.extensions.r4#1.0.0), 4.0.1 (from hl7.fhir.r4.core#4.0.1), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/display' to 'http://hl7.org/fhir/StructureDefinition/display|5.2.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-questionnaireresponse: StructureDefinition.snapshot.element[17].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 73702
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0 (from hl7.fhir.uv.extensions.r4#1.0.0), 4.0.1 (from hl7.fhir.r4.core#4.0.1), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature' to 'http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.2.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-questionnaireresponse: StructureDefinition.snapshot.element[30].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85175
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/ordinalValue'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 4.0.1 (from hl7.fhir.r4.core#4.0.1), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/ordinalValue' to 'http://hl7.org/fhir/StructureDefinition/ordinalValue|5.2.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-questionnaireresponse: StructureDefinition.snapshot.element[39].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-relatedperson",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-relatedperson"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-servicenotrequested",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-servicenotrequested",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 96151
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType' to 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-servicenotrequested: StructureDefinition.snapshot.element[38].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-servicerequest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-servicerequest",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 83587
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#5.0.0), 3.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType' to 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType|3.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-servicerequest: StructureDefinition.snapshot.element[32].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-simple-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-simple-observation"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-substance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-substance"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-task",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-task"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-taskrejected",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-taskrejected"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/CapabilityStatement-us-quality-core-client",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-us-quality-core-client",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80618
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/CapabilityStatement|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://fhir.org/guides/astp/us-quality-core'"
            },
            "expression": [
              "CapabilityStatement/us-quality-core-client: CapabilityStatement.implementationGuide[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/CapabilityStatement-us-quality-core-server",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-us-quality-core-server",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 81619
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/CapabilityStatement|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://fhir.org/guides/astp/us-quality-core'"
            },
            "expression": [
              "CapabilityStatement/us-quality-core-server: CapabilityStatement.implementationGuide[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-adverseevent-event",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-adverseevent-event"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-adverseevent-recordedDate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-adverseevent-recordedDate"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-adverseevent-subject",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-adverseevent-subject"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-allergyintolerance-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-allergyintolerance-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-bodystructure-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-bodystructure-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-careplan-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-careplan-category"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-careplan-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-careplan-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-careteam-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-careteam-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-careteam-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-careteam-status"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-claim-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-claim-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-claimresponse-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-claimresponse-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-claimresponse-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-claimresponse-type"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-communication-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-communication-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-communication-topic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-communication-topic"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-communicationrequest-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-communicationrequest-category"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-communicationrequest-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-communicationrequest-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-condition-abatement-date",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-condition-abatement-date"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-condition-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-condition-category"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-condition-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-condition-code"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-condition-onset-date",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-condition-onset-date"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-condition-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-condition-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-coverage-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-coverage-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-device-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-device-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-device-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-device-type"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-devicerequest-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-devicerequest-code"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-devicerequest-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-devicerequest-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-deviceusestatement-device-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-deviceusestatement-device-type"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-deviceusestatement-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-deviceusestatement-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-diagnosticreport-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-diagnosticreport-category"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-diagnosticreport-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-diagnosticreport-code"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-diagnosticreport-date",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-diagnosticreport-date"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-diagnosticreport-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-diagnosticreport-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-encounter-date",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-encounter-date"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-encounter-id",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-encounter-id"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-encounter-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-encounter-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-encounter-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-encounter-type"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-familymemberhistory-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-familymemberhistory-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-flag-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-flag-code"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-flag-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-flag-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-goal-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-goal-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-imagingstudy-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-imagingstudy-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-imagingstudy-procedure-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-imagingstudy-procedure-code"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-immunization-date",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-immunization-date"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-immunization-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-immunization-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-immunization-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-immunization-status"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-immunizationevaluation-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-immunizationevaluation-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-immunizationevaluation-target-disease",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-immunizationevaluation-target-disease"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-immunizationrecommendation-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-immunizationrecommendation-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-immunizationrecommendation-recommendation-vaccine-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-immunizationrecommendation-recommendation-vaccine-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Resource_RES_ID_Malformed_Length"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/SearchParameter|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Invalid Resource id: Too long (70 chars)"
            },
            "expression": [
              "SearchParameter/us-quality-core-immunizationrecommendation-recommendation-vaccine-code: SearchParameter.id"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-location-id",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-location-id"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-medication-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-medication-code"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-medicationadministration-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-medicationadministration-code"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-medicationadministration-effective-time",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-medicationadministration-effective-time"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-medicationadministration-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-medicationadministration-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-medicationadministration-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-medicationadministration-status"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-medicationdispense-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-medicationdispense-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-medicationdispense-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-medicationdispense-status"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-medicationrequest-intent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-medicationrequest-intent"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-medicationrequest-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-medicationrequest-patient"
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    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-medicationstatement-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-medicationstatement-code"
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    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-medicationstatement-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-medicationstatement-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-nutritionorder-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-nutritionorder-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-nutritionorder-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-nutritionorder-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "ED_SEARCH_EXPRESSION_ERROR"
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            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Error in search expression 'NutritionOrder.type': Error evaluating FHIRPath expression: The name 'type' is not valid for any of the possible types: [http://hl7.org/fhir/StructureDefinition/NutritionOrder] (@char 16)"
            },
            "expression": [
              "SearchParameter/us-quality-core-nutritionorder-type: SearchParameter.expression"
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        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-observation-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-observation-category"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-observation-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-observation-code"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-observation-date",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-observation-date"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-observation-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-observation-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-patient-id",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-patient-id"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-practitioner-id",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-practitioner-id"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-practitionerrole-id",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-practitionerrole-id"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-procedure-date",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-procedure-date"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-procedure-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-procedure-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-procedure-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-procedure-status"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-questionnaireresponse-id",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-questionnaireresponse-id"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-questionnaireresponse-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-questionnaireresponse-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-questionnaireresponse-questionnaire",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-questionnaireresponse-questionnaire"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-relatedperson-id",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-relatedperson-id"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-relatedperson-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-relatedperson-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-servicerequest-authored",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-servicerequest-authored"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-servicerequest-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-servicerequest-category"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-servicerequest-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-servicerequest-code"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-servicerequest-id",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-servicerequest-id"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-servicerequest-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-servicerequest-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-substance-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-substance-code"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-task-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-task-code"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-task-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-task-patient"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/SearchParameter-us-quality-core-task-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "SearchParameter-us-quality-core-task-status"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-doNotPerformReason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-doNotPerformReason"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-encounter-diagnosisPresentOnAdmission",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-encounter-diagnosisPresentOnAdmission"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-isElective",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-isElective"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-notDoneReason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-notDoneReason"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-recorded",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-recorded"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-uscdiplusquality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uscdiplusquality"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/AdverseEvent-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "AdverseEvent-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/AllergyIntolerance-example-refuted",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "AllergyIntolerance-example-refuted"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/AllergyIntolerance-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "AllergyIntolerance-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/BodyStructure-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "BodyStructure-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 70
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-bodystructure|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://goodhealth.org/bodystructure/identifiers'"
            },
            "expression": [
              "BodyStructure/example: BodyStructure.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/CarePlan-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CarePlan-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 108
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-careplan|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact-schedule'"
            },
            "expression": [
              "CarePlan/example: CarePlan.instantiatesCanonical[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-careplan|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact'"
            },
            "expression": [
              "CarePlan/example: CarePlan.activity[0].detail.instantiatesCanonical[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-careplan|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact'"
            },
            "expression": [
              "CarePlan/example: CarePlan.activity[1].detail.instantiatesCanonical[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-careplan|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact'"
            },
            "expression": [
              "CarePlan/example: CarePlan.activity[2].detail.instantiatesCanonical[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-careplan|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact'"
            },
            "expression": [
              "CarePlan/example: CarePlan.activity[3].detail.instantiatesCanonical[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-careplan|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact'"
            },
            "expression": [
              "CarePlan/example: CarePlan.activity[4].detail.instantiatesCanonical[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-careplan|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact'"
            },
            "expression": [
              "CarePlan/example: CarePlan.activity[5].detail.instantiatesCanonical[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 204
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-careplan|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact'"
            },
            "expression": [
              "CarePlan/example: CarePlan.activity[6].detail.instantiatesCanonical[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-careplan|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact'"
            },
            "expression": [
              "CarePlan/example: CarePlan.activity[7].detail.instantiatesCanonical[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/CareTeam-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CareTeam-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Claim-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Claim-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 50
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-claim|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://happysight.com/claim'"
            },
            "expression": [
              "Claim/example: Claim.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-claim|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/icd-10-cm' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Claim/example: Claim.diagnosis[0].diagnosis.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 59
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-claim|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://terminology.hl7.org/CodeSystem/icd-10-cm'"
            },
            "expression": [
              "Claim/example: Claim.diagnosis[0].diagnosis.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-claim|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://example.org/fhir/CodeSystem/ex-visionservice' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Claim/example: Claim.item[0].productOrService.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-claim|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://example.org/fhir/CodeSystem/ex-visionservice' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Claim/example: Claim.item[0].detail[0].productOrService.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-claim|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://example.org/fhir/CodeSystem/ex-visionservice' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Claim/example: Claim.item[0].detail[1].productOrService.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 124
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-claim|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://example.org/fhir/CodeSystem/ex-visionservice' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Claim/example: Claim.item[0].detail[2].productOrService.coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ClaimResponse-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ClaimResponse-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Communication-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Communication-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Communication-negation-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Communication-negation-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "INACTIVE_CONCEPT_FOUND"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-communicationnotdone|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept '184081006' has a status of inactive and its use should be reviewed"
            },
            "expression": [
              "Communication/negation-example: Communication.statusReason.coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/CommunicationRequest-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CommunicationRequest-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 65
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-communicationrequest|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.jurisdiction.com/insurer/123456'"
            },
            "expression": [
              "CommunicationRequest/example: CommunicationRequest.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Condition-appendicitis-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-appendicitis-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Condition-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Condition-health-concern-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-health-concern-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Coverage-example-new",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Coverage-example-new",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-coverage|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'https://nahdo.org/sopt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Coverage/example-new: Coverage.type.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Coverage-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Coverage-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-coverage|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'https://nahdo.org/sopt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Coverage/example: Coverage.type.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Device-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Device-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-device|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://goodcare.org/devices/id'"
            },
            "expression": [
              "Device/example: Device.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/DeviceRequest-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DeviceRequest-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/DeviceRequest-negation-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DeviceRequest-negation-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 23
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 96
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-devicenotrequested|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://cts.nlm.nih.gov/fhir/2.16.840.1.113883.3.117.1.7.1.230'"
            },
            "expression": [
              "DeviceRequest/negation-example: DeviceRequest.code.ofType(CodeableConcept).extension[0].value.ofType(canonical)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/DeviceRequest-negation-with-code-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DeviceRequest-negation-with-code-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/DeviceUseStatement-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DeviceUseStatement-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 54
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-deviceusestatement|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http:goodhealth.org/identifiers'"
            },
            "expression": [
              "DeviceUseStatement/example: DeviceUseStatement.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/DiagnosticReport-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DiagnosticReport-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/DiagnosticReport-note-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DiagnosticReport-note-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Encounter-encounter-ed-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-ed-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Encounter-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/FamilyMemberHistory-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "FamilyMemberHistory-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Flag-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Flag-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 18
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-flag|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://example.org/local' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Flag/example: Flag.code.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Goal-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Goal-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ImagingStudy-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImagingStudy-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Immunization-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Immunization-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-immunization|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:1.2.36.1.2001.1005.17' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Immunization/example: Immunization.vaccineCode.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Immunization-negation-example-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Immunization-negation-example-code"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Immunization-negation-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Immunization-negation-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ImmunizationEvaluation-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImmunizationEvaluation-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ImmunizationRecommendation-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImmunizationRecommendation-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Library-us-quality-core-modelinfo-derived",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-us-quality-core-modelinfo-derived",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 311139
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Library|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'assets/us-quality-core-modelinfo-derived-0.1.0.xml'"
            },
            "expression": [
              "Library/us-quality-core-modelinfo-derived: Library.content[0].url"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Location-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-location|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://exampleoflocation.com'"
            },
            "expression": [
              "Location/example: Location.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Medication-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Medication-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM_VERSION"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-organization|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.nlm.nih.gov/research/umls/rxnorm' version '06052023' could not be found, so the code cannot be validated. Valid versions: 02032025"
            },
            "expression": [
              "Medication/example: Medication.code.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/MedicationAdministration-cmd-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-cmd-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/MedicationAdministration-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/MedicationAdministration-negation-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-negation-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 20
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 94
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-medicationadministrationnotdone|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://cts.nlm.nih.gov/fhir/2.16.840.1.113883.3.88.12.80.16'"
            },
            "expression": [
              "MedicationAdministration/negation-example: MedicationAdministration.medication.ofType(CodeableConcept).extension[0].value.ofType(canonical)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/MedicationAdministration-negation-with-code-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-negation-with-code-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 18
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM_VERSION"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-medicationadministrationnotdone|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.nlm.nih.gov/research/umls/rxnorm' version '06052023' could not be found, so the code cannot be validated. Valid versions: 02032025"
            },
            "expression": [
              "MedicationAdministration/negation-with-code-example: MedicationAdministration.medication.ofType(CodeableConcept).coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/MedicationDispense-cmd-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationDispense-cmd-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/MedicationDispense-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationDispense-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/MedicationDispense-negation-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationDispense-negation-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 20
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 113
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-medicationdispensedeclined|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://cts.nlm.nih.gov/fhir/1.3.6.1.4.1.6997.4.1.2.268.13.35211.1.13.1.999.321'"
            },
            "expression": [
              "MedicationDispense/negation-example: MedicationDispense.medication.ofType(CodeableConcept).extension[0].value.ofType(canonical)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/MedicationDispense-negation-with-code-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationDispense-negation-with-code-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 18
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM_VERSION"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-medicationdispensedeclined|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.nlm.nih.gov/research/umls/rxnorm' version '06052023' could not be found, so the code cannot be validated. Valid versions: 02032025"
            },
            "expression": [
              "MedicationDispense/negation-with-code-example: MedicationDispense.medication.ofType(CodeableConcept).coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/MedicationRequest-cmd-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationRequest-cmd-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/MedicationRequest-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationRequest-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/MedicationRequest-negation-example-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationRequest-negation-example-code"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/MedicationRequest-negation-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationRequest-negation-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/MedicationRequest-patient-reported-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationRequest-patient-reported-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/MedicationRequest-patient-requester-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationRequest-patient-requester-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/MedicationRequest-practitioner-ordered-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationRequest-practitioner-ordered-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/MedicationStatement-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationStatement-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/NutritionOrder-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "NutritionOrder-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 69
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-nutritionorder|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://goodhealthhospital.org/nutrition-requests'"
            },
            "expression": [
              "NutritionOrder/example: NutritionOrder.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Observation-clinical-result-heart-rate-rhythm",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-clinical-result-heart-rate-rhythm"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Observation-example-births",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-births"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Observation-example-delivery-date-estimate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-delivery-date-estimate"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Observation-example-frailty",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-frailty"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Observation-example-gestation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-gestation"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Observation-example-obstetric-delivery",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-obstetric-delivery"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Observation-example-odh",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-odh",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 36
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-simple-observation|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/example-odh: Observation.value.ofType(CodeableConcept).coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Observation-example-parity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-parity"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Observation-example-pregnancies",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-pregnancies"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Observation-example-preterm-births",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-preterm-births"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Observation-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 52
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "DEPRECATED_CONCEPT_FOUND"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-simple-observation|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept 'L' is deprecated and its use should be reviewed"
            },
            "expression": [
              "Observation/example: Observation.interpretation[0].coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 111
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "DEPRECATED_CONCEPT_FOUND"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-simple-observation|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept 'N' is deprecated and its use should be reviewed"
            },
            "expression": [
              "Observation/example: Observation.component[0].interpretation[0].coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "DEPRECATED_CONCEPT_FOUND"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-simple-observation|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept 'L' is deprecated and its use should be reviewed"
            },
            "expression": [
              "Observation/example: Observation.component[1].interpretation[0].coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Observation-laboratory-result-observation-example-blood-glucose",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-laboratory-result-observation-example-blood-glucose"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Observation-negation-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-negation-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 23
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 93
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-observationcancelled|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://cts.nlm.nih.gov/fhir/2.16.840.1.113762.1.4.1045.131'"
            },
            "expression": [
              "Observation/negation-example: Observation.code.extension[0].value.ofType(canonical)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Observation-negation-with-code-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-negation-with-code-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Observation-example-nonpatient-hemodialysis-machine",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-nonpatient-hemodialysis-machine"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Observation-example-nonpatient-hospital-bed",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-nonpatient-hospital-bed"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Observation-example-nonpatient-mechanical-ventilator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-nonpatient-mechanical-ventilator"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Observation-example-screening-assessment-10-minute-apgar-heart-rate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-example-screening-assessment-10-minute-apgar-heart-rate"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Organization-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Organization-example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-example1"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Patient-example-2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-example-2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-patient|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.36.146.595.217.0.1'"
            },
            "expression": [
              "Patient/example-2: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Patient-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 82
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-patient|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.36.146.595.217.0.1'"
            },
            "expression": [
              "Patient/example: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Patient-infant-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-infant-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 17
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-patient|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hospital.smarthealthit.org'"
            },
            "expression": [
              "Patient/infant-example: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Practitioner-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 30
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-practitioner|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Error: TerminologyError is not a constructor"
            },
            "expression": [
              "Practitioner/example: Practitioner.qualification[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 32
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 76
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-practitioner|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://terminology.hl7.org/CodeSystem/v2-0360|2.7'"
            },
            "expression": [
              "Practitioner/example: Practitioner.qualification[0].code.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/PractitionerRole-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PractitionerRole-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Procedure-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Procedure-negation-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-negation-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 20
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 96
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-procedurenotdone|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://cts.nlm.nih.gov/fhir/2.16.840.1.113883.3.117.1.7.1.214'"
            },
            "expression": [
              "Procedure/negation-example: Procedure.code.extension[0].value.ofType(canonical)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Procedure-negation-with-code-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-negation-with-code-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/QuestionnaireResponse-PHQ-9-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "QuestionnaireResponse-PHQ-9-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The authored date 'Jul 31, 2022, 10:14:07 PM' is after the end of the permitted period defined in the Questionnaire ('Aug 20, 2020, 4:00:00 AM')"
            },
            "expression": [
              "QuestionnaireResponse/PHQ-9-example: QuestionnaireResponse.authored"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/RelatedPerson-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 43
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-relatedperson|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'Binary/f012'"
            },
            "expression": [
              "RelatedPerson/example: RelatedPerson.photo[0].url"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ServiceRequest-appropriateness-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-appropriateness-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ServiceRequest-elective-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-elective-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ServiceRequest-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ServiceRequest-myringotomy-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-myringotomy-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ServiceRequest-negation-example-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-negation-example-code"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ServiceRequest-negation-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-negation-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 26
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 94
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://cts.nlm.nih.gov/fhir/2.16.840.1.113883.3.117.1.7.1.214'"
            },
            "expression": [
              "ServiceRequest/negation-example: ServiceRequest.code.extension[0].value.ofType(canonical)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-notDoneValueSet",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-notDoneValueSet"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/StructureDefinition-us-quality-core-servicerequest-appropriatenessScore",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-quality-core-servicerequest-appropriatenessScore",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24182
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/appropriateness-score'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '2.0.0', found versions: 1.0.0 (from hl7.terminology.r4#5.0.0), 2.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/appropriateness-score' to 'http://terminology.hl7.org/ValueSet/appropriateness-score|2.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-servicerequest-appropriatenessScore: StructureDefinition.snapshot.element[5].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25002
              },
              {
                "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_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/appropriateness-score'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '2.0.0', found versions: 1.0.0 (from hl7.terminology.r4#5.0.0), 2.0.0 (from hl7.terminology#5.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/appropriateness-score' to 'http://terminology.hl7.org/ValueSet/appropriateness-score|2.0.0'"
            },
            "expression": [
              "StructureDefinition/us-quality-core-servicerequest-appropriatenessScore: StructureDefinition.differential.element[3].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Substance-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Substance-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Task-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Task-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Task-negation-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Task-negation-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 22
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-taskrejected|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://cts.nlm.nih.gov/fhir/2.16.840.1.113762.1.4.1096.11'"
            },
            "expression": [
              "Task/negation-example: Task.code.extension[0].value.ofType(canonical)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/Task-negation-with-code-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Task-negation-with-code-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ValueSet-us-quality-core-medication-dose-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-quality-core-medication-dose-type"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ValueSet-us-quality-core-negation-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-quality-core-negation-reason"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ValueSet-us-quality-core-non-negative-event-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-quality-core-non-negative-event-status"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ValueSet-us-quality-core-non-negative-immunization-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-quality-core-non-negative-immunization-status"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ValueSet-us-quality-core-non-negative-medication-admin-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-quality-core-non-negative-medication-admin-status"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ValueSet-us-quality-core-non-negative-medicationdispense-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-quality-core-non-negative-medicationdispense-status"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ValueSet-us-quality-core-non-negative-observation-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-quality-core-non-negative-observation-status"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ValueSet-us-quality-core-non-negative-task-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-quality-core-non-negative-task-status"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ValueSet-us-quality-core-observation-body-position",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-quality-core-observation-body-position"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/astp/us-quality-core/OperationOutcome/ValueSet-us-quality-core-present-on-admission",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-quality-core-present-on-admission"
      }
    }
  ]
}