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Packagefhir.hrsa.uds-plus
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2026-10-13T11:14:29.092+00:00",
  "entry": [
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/ImplementationGuide-fhir.hrsa.uds-plus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-fhir.hrsa.uds-plus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2916
              },
              {
                "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/ImplementationGuide|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://fhir.org/packages/us.cdc.phinvads/ImplementationGuide/us.cdc.phinvads'"
            },
            "expression": [
              "ImplementationGuide/fhir.hrsa.uds-plus: ImplementationGuide.dependsOn[6].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2339
              },
              {
                "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 9.0.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/fhir.hrsa.uds-plus: ImplementationGuide.dependsOn[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2489
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING_OLD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide uses package hl7.fhir.uv.bulkdata#2.0.0 released on 2021-11-26, but the most recent appropriate version is 3.0.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/fhir.hrsa.uds-plus: ImplementationGuide.dependsOn[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2668
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING_OLD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide uses package hl7.fhir.uv.smart-app-launch#2.1.0 released on 2023-04-18, but the most recent appropriate version is 2.2.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/fhir.hrsa.uds-plus: ImplementationGuide.dependsOn[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2966
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_INVALID_URL"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The canonical URL http://fhir.org/packages/us.cdc.phinvads/ImplementationGuide/us.cdc.phinvads doesn't point to an actual ImplementationGuide resource"
            },
            "expression": [
              "ImplementationGuide/fhir.hrsa.uds-plus: ImplementationGuide.dependsOn[6]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/AdverseEvent-de-identified-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "AdverseEvent-de-identified-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-adverseevent|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "AdverseEvent/de-identified-example: AdverseEvent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/AllergyIntolerance-de-identified-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "AllergyIntolerance-de-identified-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-allergyintolerance|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "AllergyIntolerance/de-identified-example: AllergyIntolerance"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Observation-clinical-result-de-identified-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-clinical-result-de-identified-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 50
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-clinical-result-observation|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {Z-Score} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked"
            },
            "expression": [
              "Observation/clinical-result-de-identified-example: Observation.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-clinical-result-observation|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Observation/clinical-result-de-identified-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Condition-de-identified-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-de-identified-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-diagnosis|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Condition/de-identified-example: Condition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Condition-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Coverage-de-identified-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Coverage-de-identified-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-coverage|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Coverage/de-identified-example: Coverage"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Parameters-de-identify-data-operation-urls-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Parameters-de-identify-data-operation-urls-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Encounter-de-identified-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-de-identified-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 55
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "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/hrsa/uds-plus/StructureDefinition/uds-plus-encounter|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.nubc.org/patient-discharge' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Encounter/de-identified-example: Encounter.hospitalization.dischargeDisposition.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-encounter|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Encounter/de-identified-example: Encounter"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Encounter-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 50
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|6.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.nubc.org/patient-discharge' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Encounter/example: Encounter.hospitalization.dischargeDisposition.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Observation-generic-observation-de-identified-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-generic-observation-de-identified-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-observation|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Observation/generic-observation-de-identified-example: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/generic-observation-de-identified-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Immunization-de-identified-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Immunization-de-identified-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-immunization|2.0.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'influenza, high-dose, quadrivalent' for http://hl7.org/fhir/sid/cvx#197. Valid display is 'Influenza, high-dose, quadrivalent, PF' (for the language(s) 'en-US')"
            },
            "expression": [
              "Immunization/de-identified-example: Immunization.vaccineCode.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-immunization|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Immunization/de-identified-example: Immunization"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Observation-de-identified-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-de-identified-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-lab-observation|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Observation/de-identified-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Location-hospital",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-hospital"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/MedicationRequest-de-identified-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationRequest-de-identified-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-medicationrequest|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "MedicationRequest/de-identified-example: MedicationRequest"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/MedicationStatement-de-identified-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationStatement-de-identified-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-medicationstatement|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "MedicationStatement/de-identified-example: MedicationStatement"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Observation-de-identified-income-with-quantity-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-de-identified-income-with-quantity-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "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/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-income-observation|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept '63058-2' has a status of DISCOURAGED and its use should be reviewed"
            },
            "expression": [
              "Observation/de-identified-income-with-quantity-example: Observation.code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-income-observation|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Observation/de-identified-income-with-quantity-example: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/de-identified-income-with-quantity-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Observation-de-identified-income-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-de-identified-income-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "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/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-income-observation|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept '63058-2' has a status of DISCOURAGED and its use should be reviewed"
            },
            "expression": [
              "Observation/de-identified-income-example: Observation.code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-income-observation|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Observation/de-identified-income-example: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/de-identified-income-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Observation-de-identified-low-income-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-de-identified-low-income-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "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/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-income-observation|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept '63058-2' has a status of DISCOURAGED and its use should be reviewed"
            },
            "expression": [
              "Observation/de-identified-low-income-example: Observation.code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-income-observation|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Observation/de-identified-low-income-example: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/de-identified-low-income-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Organization-holy-healthcare",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-holy-healthcare"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Organization-acme-payer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-acme-payer"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Parameters-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Parameters-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 94
              },
              {
                "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_URL_Resolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-import-manifest|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.fqhc.california.com/udsplus/storage/2023/Patient_1.ndjson'"
            },
            "expression": [
              "Parameters/example: Parameters.parameter[5].part[1].value.ofType(url)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 115
              },
              {
                "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_URL_Resolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-import-manifest|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.fqhc.california.com/udsplus/storage/2023/Patient_2.ndjson'"
            },
            "expression": [
              "Parameters/example: Parameters.parameter[6].part[1].value.ofType(url)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 136
              },
              {
                "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_URL_Resolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-import-manifest|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.fqhc.california.com/udsplus/storage/2023/Condition.ndjson'"
            },
            "expression": [
              "Parameters/example: Parameters.parameter[7].part[1].value.ofType(url)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 157
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 89
              },
              {
                "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/hrsa/uds-plus/StructureDefinition/uds-plus-import-manifest|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.fqhc.california.com/udsplus/storage/2023/Coverage.ndjson'"
            },
            "expression": [
              "Parameters/example: Parameters.parameter[8].part[1].value.ofType(url)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 178
              },
              {
                "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_URL_Resolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-import-manifest|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.fqhc.california.com/udsplus/storage/2023/Procedure.ndjson'"
            },
            "expression": [
              "Parameters/example: Parameters.parameter[9].part[1].value.ofType(url)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 199
              },
              {
                "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_URL_Resolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-import-manifest|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.fqhc.california.com/udsplus/storage/2023/Encounter.ndjson'"
            },
            "expression": [
              "Parameters/example: Parameters.parameter[10].part[1].value.ofType(url)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Patient-de-identified-age89-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-de-identified-age89-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 32
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_Confirm_4a"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient|2.0.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The code provided (urn:oid:2.16.840.1.113883.6.238#2108-9) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|6.1.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#2108-9 ('European')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|6.1.0'"
            },
            "expression": [
              "Patient/de-identified-age89-example: Patient.extension[0].extension[1].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "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/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient|2.0.0"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at \"exclude[0].filter\" due to the presence of the modifier extension vsacOpModifier"
            },
            "expression": [
              "Patient/de-identified-age89-example: Patient.extension[1].extension[1].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_Confirm_4a"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient|2.0.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The code provided (urn:oid:2.16.840.1.113883.6.238#2184-0) was not found in the value set 'Detailed ethnicity' (http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity|6.1.0), and a code from this value set is required: Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at \"exclude[0].filter\" due to the presence of the modifier extension vsacOpModifier"
            },
            "expression": [
              "Patient/de-identified-age89-example: Patient.extension[1].extension[1].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Patient/de-identified-age89-example: Patient"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Patient-de-identified-smallpop-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-de-identified-smallpop-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 32
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_Confirm_4a"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient|2.0.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The code provided (urn:oid:2.16.840.1.113883.6.238#2108-9) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|6.1.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#2108-9 ('European')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|6.1.0'"
            },
            "expression": [
              "Patient/de-identified-smallpop-example: Patient.extension[0].extension[1].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "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/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient|2.0.0"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at \"exclude[0].filter\" due to the presence of the modifier extension vsacOpModifier"
            },
            "expression": [
              "Patient/de-identified-smallpop-example: Patient.extension[1].extension[1].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_Confirm_4a"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient|2.0.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The code provided (urn:oid:2.16.840.1.113883.6.238#2184-0) was not found in the value set 'Detailed ethnicity' (http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity|6.1.0), and a code from this value set is required: Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at \"exclude[0].filter\" due to the presence of the modifier extension vsacOpModifier"
            },
            "expression": [
              "Patient/de-identified-smallpop-example: Patient.extension[1].extension[1].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Patient/de-identified-smallpop-example: Patient"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Patient-de-identified-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-de-identified-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 32
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_Confirm_4a"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient|2.0.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The code provided (urn:oid:2.16.840.1.113883.6.238#2108-9) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|6.1.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#2108-9 ('European')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|6.1.0'"
            },
            "expression": [
              "Patient/de-identified-example: Patient.extension[0].extension[1].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "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/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient|2.0.0"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at \"exclude[0].filter\" due to the presence of the modifier extension vsacOpModifier"
            },
            "expression": [
              "Patient/de-identified-example: Patient.extension[1].extension[1].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_Confirm_4a"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient|2.0.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The code provided (urn:oid:2.16.840.1.113883.6.238#2184-0) was not found in the value set 'Detailed ethnicity' (http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity|6.1.0), and a code from this value set is required: Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at \"exclude[0].filter\" due to the presence of the modifier extension vsacOpModifier"
            },
            "expression": [
              "Patient/de-identified-example: Patient.extension[1].extension[1].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 76
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_ValueSet_NotFound"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "ValueSet 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1021.121/expansion/' not found"
            },
            "expression": [
              "Patient/de-identified-example: Patient.extension[3].value.ofType(code)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Patient/de-identified-example: Patient"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Patient-smallpop-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-smallpop-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 52
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_Confirm_4a"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The code provided (urn:oid:2.16.840.1.113883.6.238#1586-7) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|6.1.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#1586-7 ('Shoshone')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|6.1.0'"
            },
            "expression": [
              "Patient/smallpop-example: Patient.extension[0].extension[3].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 60
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_Confirm_4a"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The code provided (urn:oid:2.16.840.1.113883.6.238#2036-2) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|6.1.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#2036-2 ('Filipino')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|6.1.0'"
            },
            "expression": [
              "Patient/smallpop-example: Patient.extension[0].extension[4].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 85
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at \"exclude[0].filter\" due to the presence of the modifier extension vsacOpModifier"
            },
            "expression": [
              "Patient/smallpop-example: Patient.extension[1].extension[1].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 85
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_Confirm_4a"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The code provided (urn:oid:2.16.840.1.113883.6.238#2184-0) was not found in the value set 'Detailed ethnicity' (http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity|6.1.0), and a code from this value set is required: Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at \"exclude[0].filter\" due to the presence of the modifier extension vsacOpModifier"
            },
            "expression": [
              "Patient/smallpop-example: Patient.extension[1].extension[1].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 93
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at \"exclude[0].filter\" due to the presence of the modifier extension vsacOpModifier"
            },
            "expression": [
              "Patient/smallpop-example: Patient.extension[1].extension[2].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 93
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_Confirm_4a"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The code provided (urn:oid:2.16.840.1.113883.6.238#2148-5) was not found in the value set 'Detailed ethnicity' (http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity|6.1.0), and a code from this value set is required: Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at \"exclude[0].filter\" due to the presence of the modifier extension vsacOpModifier"
            },
            "expression": [
              "Patient/smallpop-example: Patient.extension[1].extension[2].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52
              },
              {
                "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/us/core/StructureDefinition/us-core-patient|6.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hospital.smarthealthit.org'"
            },
            "expression": [
              "Patient/smallpop-example: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Patient-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 52
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_Confirm_4a"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The code provided (urn:oid:2.16.840.1.113883.6.238#1586-7) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|6.1.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#1586-7 ('Shoshone')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|6.1.0'"
            },
            "expression": [
              "Patient/example: Patient.extension[0].extension[3].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 60
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_Confirm_4a"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The code provided (urn:oid:2.16.840.1.113883.6.238#2036-2) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|6.1.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#2036-2 ('Filipino')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|6.1.0'"
            },
            "expression": [
              "Patient/example: Patient.extension[0].extension[4].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 85
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at \"exclude[0].filter\" due to the presence of the modifier extension vsacOpModifier"
            },
            "expression": [
              "Patient/example: Patient.extension[1].extension[1].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 85
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_Confirm_4a"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The code provided (urn:oid:2.16.840.1.113883.6.238#2184-0) was not found in the value set 'Detailed ethnicity' (http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity|6.1.0), and a code from this value set is required: Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at \"exclude[0].filter\" due to the presence of the modifier extension vsacOpModifier"
            },
            "expression": [
              "Patient/example: Patient.extension[1].extension[1].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 93
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at \"exclude[0].filter\" due to the presence of the modifier extension vsacOpModifier"
            },
            "expression": [
              "Patient/example: Patient.extension[1].extension[2].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 93
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_Confirm_4a"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The code provided (urn:oid:2.16.840.1.113883.6.238#2148-5) was not found in the value set 'Detailed ethnicity' (http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity|6.1.0), and a code from this value set is required: Cannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877|20190518 at \"exclude[0].filter\" due to the presence of the modifier extension vsacOpModifier"
            },
            "expression": [
              "Patient/example: Patient.extension[1].extension[2].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52
              },
              {
                "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/us/core/StructureDefinition/us-core-patient|6.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hospital.smarthealthit.org'"
            },
            "expression": [
              "Patient/example: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Practitioner-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Procedure-de-identified-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-de-identified-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-procedure|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Procedure/de-identified-example: Procedure"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/RelatedPerson-de-identified-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-de-identified-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-relatedperson|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "RelatedPerson/de-identified-example: RelatedPerson"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/Parameters-reporting-parameters-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Parameters-reporting-parameters-example"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/ServiceRequest-de-identified-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-de-identified-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-servicerequest|2.0.0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "ServiceRequest/de-identified-example: ServiceRequest"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/CapabilityStatement-uds-plus-data-receiver-server",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-uds-plus-data-receiver-server"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/CapabilityStatement-uds-plus-data-source",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-uds-plus-data-source"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/CapabilityStatement-uds-plus-data-submitter-client",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-uds-plus-data-submitter-client"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/CapabilityStatement-uds-plus-trust-service-provider",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-uds-plus-trust-service-provider"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/CodeSystem-udsplus-agriculture-worker-status-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-udsplus-agriculture-worker-status-codes"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/CodeSystem-udsplus-housing-status-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-udsplus-housing-status-codes"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/CodeSystem-uds-plus-insurance-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-uds-plus-insurance-codes"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/CodeSystem-udsplus-service-delivery-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-udsplus-service-delivery-codes"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/OperationDefinition-udsplus-de-identify",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "OperationDefinition-udsplus-de-identify"
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/OperationDefinition-import",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "OperationDefinition-import",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2285
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "OPDEF_CIRCULAR_DEFINITION"
              }
            ],
            "severity": "error",
            "code": "unknown",
            "details": {
              "text": "The definition of the Operation is circular - it depends on itself (url = 'http://fhir.org/guides/hrsa/uds-plus/OperationDefinition/import', from 'http://fhir.org/guides/hrsa/uds-plus/OperationDefinition/import')"
            },
            "expression": [
              "OperationDefinition/import: OperationDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-adverseevent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-adverseevent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 167
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#3LDMUQYYwafwTzqK' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-adverseevent: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-age-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-age-extension",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 167
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#IqyJCmUTqk2pvKFb' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-age-extension: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-allergyintolerance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-allergyintolerance",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 173
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#3LDMUQYYwafwTzqK' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-allergyintolerance: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-birthsex-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-birthsex-extension",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 172
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#IqyJCmUTqk2pvKFb' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-birthsex-extension: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-capitated-member-months-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-capitated-member-months-extension",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 187
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#IqyJCmUTqk2pvKFb' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-capitated-member-months-extension: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-clinical-result-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-clinical-result-observation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 182
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#3LDMUQYYwafwTzqK' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-clinical-result-observation: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-coverage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-coverage",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 163
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#3LDMUQYYwafwTzqK' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-coverage: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-deidentify-operation-data-urls-parameter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-deidentify-operation-data-urls-parameter",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 195
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#3LDMUQYYwafwTzqK' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-deidentify-operation-data-urls-parameter: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-deidentified-instant-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-deidentified-instant-extension",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 184
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#IqyJCmUTqk2pvKFb' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-deidentified-instant-extension: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-diagnosis",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-diagnosis",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 164
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#3LDMUQYYwafwTzqK' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-diagnosis: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-encounter",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 164
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#3LDMUQYYwafwTzqK' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-encounter: StructureDefinition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 99404
              },
              {
                "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.r4#7.4.0). 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/uds-plus-encounter: 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": 106426
              },
              {
                "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.r4#7.4.0). 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/uds-plus-encounter: StructureDefinition.snapshot.element[23].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110040
              },
              {
                "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.r4#7.4.0). 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/uds-plus-encounter: StructureDefinition.snapshot.element[27].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 160004
              },
              {
                "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/v2-0092'. 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.r4#7.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v2-0092' to 'http://terminology.hl7.org/ValueSet/v2-0092|3.0.0'"
            },
            "expression": [
              "StructureDefinition/uds-plus-encounter: StructureDefinition.snapshot.element[64].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-ethnicity-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-ethnicity-extension",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 173
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#IqyJCmUTqk2pvKFb' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-ethnicity-extension: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-feeforservice-member-months-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-feeforservice-member-months-extension",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 191
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#IqyJCmUTqk2pvKFb' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-feeforservice-member-months-extension: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-housing-status-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-housing-status-extension",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 178
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#IqyJCmUTqk2pvKFb' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-housing-status-extension: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-immunization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-immunization",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 167
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#3LDMUQYYwafwTzqK' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-immunization: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-de-identified-uds-plus-income-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-de-identified-uds-plus-income-observation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 187
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#3LDMUQYYwafwTzqK' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/de-identified-uds-plus-income-observation: StructureDefinition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110492
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept '63058-2' has a status of DISCOURAGED and its use should be reviewed"
            },
            "expression": [
              "StructureDefinition/de-identified-uds-plus-income-observation: StructureDefinition.snapshot.element[15].pattern.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 202977
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept '63058-2' has a status of DISCOURAGED and its use should be reviewed"
            },
            "expression": [
              "StructureDefinition/de-identified-uds-plus-income-observation: StructureDefinition.differential.element[6].pattern.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-lab-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-lab-observation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 170
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#3LDMUQYYwafwTzqK' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-lab-observation: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-location",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-location",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 162
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#IqyJCmUTqk2pvKFb' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-location: StructureDefinition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29289
              },
              {
                "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/v2-0116'. 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.r4#7.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v2-0116' to 'http://terminology.hl7.org/ValueSet/v2-0116|3.0.0'"
            },
            "expression": [
              "StructureDefinition/uds-plus-location: StructureDefinition.snapshot.element[11].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-medicationrequest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-medicationrequest",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 172
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#3LDMUQYYwafwTzqK' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-medicationrequest: StructureDefinition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 172155
              },
              {
                "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.r4#7.4.0). 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/uds-plus-medicationrequest: StructureDefinition.snapshot.element[80].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 173475
              },
              {
                "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.r4#7.4.0). 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/uds-plus-medicationrequest: StructureDefinition.snapshot.element[81].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-medicationstatement",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-medicationstatement",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 174
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#3LDMUQYYwafwTzqK' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-medicationstatement: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-observation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 166
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#3LDMUQYYwafwTzqK' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-observation: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-import-manifest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-import-manifest",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 170
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#3LDMUQYYwafwTzqK' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-import-manifest: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-patient-reporting-parameters",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-patient-reporting-parameters",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 183
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#3LDMUQYYwafwTzqK' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-patient-reporting-parameters: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-de-identified-uds-plus-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-de-identified-uds-plus-patient",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 176
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#3LDMUQYYwafwTzqK' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/de-identified-uds-plus-patient: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 164
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#3LDMUQYYwafwTzqK' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-procedure: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-race-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-race-extension",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 168
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#IqyJCmUTqk2pvKFb' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-race-extension: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-recordedDate-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-recordedDate-extension",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 176
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#IqyJCmUTqk2pvKFb' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-recordedDate-extension: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-de-identified-uds-plus-relatedperson",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-de-identified-uds-plus-relatedperson",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 182
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#3LDMUQYYwafwTzqK' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/de-identified-uds-plus-relatedperson: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-servicerequest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-servicerequest",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 169
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#3LDMUQYYwafwTzqK' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-servicerequest: StructureDefinition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 148126
              },
              {
                "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.r4#7.4.0). 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/uds-plus-servicerequest: StructureDefinition.snapshot.element[55].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-sex-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-sex-extension",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 167
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#IqyJCmUTqk2prKFb' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-sex-extension: StructureDefinition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17816
              },
              {
                "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 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1021.121/expansion/'"
            },
            "expression": [
              "StructureDefinition/uds-plus-sex-extension: StructureDefinition.snapshot.element[4].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18491
              },
              {
                "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 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1021.121/expansion/'"
            },
            "expression": [
              "StructureDefinition/uds-plus-sex-extension: StructureDefinition.differential.element[2].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-uds-plus-veteran-status-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uds-plus-veteran-status-extension",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 178
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#IqyJCmUTqk2pvKFb' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/uds-plus-veteran-status-extension: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/StructureDefinition-udsplus-agriculture-worker-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-udsplus-agriculture-worker-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 178
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "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": "The URL value '#IqyJCmUTqk2pvKFb' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/udsplus-agriculture-worker-status: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/ValueSet-udsplus-agriculture-worker-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-udsplus-agriculture-worker-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 167
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/shareablevalueset|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#3Te0anOrvocKgcow' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "ValueSet/udsplus-agriculture-worker-status: ValueSet.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/ValueSet-uds-plus-sex-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-uds-plus-sex-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 152
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/shareablevalueset|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#3Te0anOrvocKgcow' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "ValueSet/uds-plus-sex-codes: ValueSet.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3387
              },
              {
                "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/shareablevalueset|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender|3.0.0'"
            },
            "expression": [
              "ValueSet/uds-plus-sex-codes: ValueSet.compose.include[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3462
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_REFERENCE_INVALID_TYPE_NO_VERSION_1"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Value set System references must not use the canonical version syntax - the version '3.0.0' should be in the version property, but that already contains '{1}'"
            },
            "expression": [
              "ValueSet/uds-plus-sex-codes: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender'. 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 '4.0.0', found versions: 2.1.0 (from hl7.terminology.r4#5.0.0), 4.0.0 (from hl7.terminology.r4#7.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender' to 'http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender|4.0.0'"
            },
            "expression": [
              "ValueSet/uds-plus-sex-codes: ValueSet.compose.include[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Error: Version inconsistent in http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender|3.0.0: 3.0.0 vs "
            },
            "expression": [
              "ValueSet.where(id = 'uds-plus-sex-codes')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/ValueSet-udsplus-housing-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-udsplus-housing-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 156
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/shareablevalueset|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#3Te0anOrvocKgcow' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "ValueSet/udsplus-housing-status: ValueSet.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/ValueSet-uds-plus-insurance-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-uds-plus-insurance-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 158
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/shareablevalueset|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#3Te0anOrvocKgcow' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "ValueSet/uds-plus-insurance-codes: ValueSet.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3232
              },
              {
                "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/shareablevalueset|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ValueSet/uds-plus-insurance-codes: ValueSet.compose.include[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3364
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_REFERENCE_INVALID_TYPE_NO_VERSION_1"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Value set System references must not use the canonical version syntax - the version '3.0.0' should be in the version property, but that already contains '{1}'"
            },
            "expression": [
              "ValueSet/uds-plus-insurance-codes: ValueSet.compose.include[1]"
            ]
          },
          {
            "extension": [
              {
                "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. 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 '4.0.0', found versions: 2.1.0 (from hl7.terminology.r4#5.0.0), 4.0.0 (from hl7.terminology.r4#7.4.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|4.0.0'"
            },
            "expression": [
              "ValueSet/uds-plus-insurance-codes: ValueSet.compose.include[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Error: Version inconsistent in http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0: 3.0.0 vs "
            },
            "expression": [
              "ValueSet.where(id = 'uds-plus-insurance-codes')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.org/guides/hrsa/uds-plus/OperationOutcome/ValueSet-uds-plus-service-delivery-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-uds-plus-service-delivery-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 165
              },
              {
                "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_INTERNAL_WARN"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/shareablevalueset|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#3Te0anOrvocKgcow' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "ValueSet/uds-plus-service-delivery-codes: ValueSet.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3627
              },
              {
                "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/shareablevalueset|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.r4#7.4.0). 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": [
              "ValueSet/uds-plus-service-delivery-codes: ValueSet.compose.include[0].valueSet[0]"
            ]
          }
        ]
      }
    }
  ]
}