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Packagefhir.kisumuhie
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2026-06-16T20:11:38.338+00:00",
  "entry": [
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ImplementationGuide-fhir.kisumuhie",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-fhir.kisumuhie"
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/CodeSystem-KCHIPCodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-KCHIPCodes"
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/CodeSystem-MNCHCodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-MNCHCodes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://fhir.kisumuhealth.co.ke/CodeSystem/MNCHCodes vs http://fhir.health.go.ke/mnch/CodeSystem/MNCHCodes"
            },
            "expression": [
              "/scratch/repo/fsh-generated/resources/CodeSystem-MNCHCodes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/CodeSystem-anc-amniotic-fluid-level-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-anc-amniotic-fluid-level-cs"
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/CodeSystem-anc-placenta-location",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-anc-placenta-location"
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/CodeSystem-anc-reason-ultrasound-not-done",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-anc-reason-ultrasound-not-done"
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/CodeSystem-encounter-servicetype-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-servicetype-cs"
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/CodeSystem-master-facility-list-codes-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-master-facility-list-codes-cs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_COMPLETE_AND_EMPTY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "When a CodeSystem has content = 'complete', it doesnt make sense for there to be no concepts defined"
            },
            "expression": [
              "CodeSystem/master-facility-list-codes-cs: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/Condition-KCHIPDiagnosisExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-KCHIPDiagnosisExample"
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/Consent-ConsentDeclinedExample01",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Consent-ConsentDeclinedExample01",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/consent-kisumu-patient|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "ValueSet 'http://terminology.hl7.org/ValueSet/consentcategorycodes' not found"
            },
            "expression": [
              "Consent/ConsentDeclinedExample01: Consent.category[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "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_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/consent-kisumu-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'idscl' in the CodeSystem 'http://terminology.hl7.org/CodeSystem/consentcategorycodes' version '1.0.1'"
            },
            "expression": [
              "Consent/ConsentDeclinedExample01: Consent.category[0].coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 49
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/consent-kisumu-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Patient/example-patient-01'"
            },
            "expression": [
              "Consent/ConsentDeclinedExample01: Consent.patient"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/consent-kisumu-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Practitioner/example-practitioner-01'"
            },
            "expression": [
              "Consent/ConsentDeclinedExample01: Consent.performer[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 30
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/consent-kisumu-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Organization/kisumu-county-hospital'"
            },
            "expression": [
              "Consent/ConsentDeclinedExample01: Consent.organization[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/Consent#ppc-1"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/consent-kisumu-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: ppc-1: 'Either a Policy or PolicyRule (policy.exists() or policyRule.exists())' (defined in http://hl7.org/fhir/StructureDefinition/Consent)"
            },
            "expression": [
              "Consent/ConsentDeclinedExample01: Consent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/Consent-ConsentGrantedExample01",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Consent-ConsentGrantedExample01",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/consent-kisumu-patient|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "ValueSet 'http://terminology.hl7.org/ValueSet/consentcategorycodes' not found"
            },
            "expression": [
              "Consent/ConsentGrantedExample01: Consent.category[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "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_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/consent-kisumu-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'idscl' in the CodeSystem 'http://terminology.hl7.org/CodeSystem/consentcategorycodes' version '1.0.1'"
            },
            "expression": [
              "Consent/ConsentGrantedExample01: Consent.category[0].coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 43
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/consent-kisumu-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Patient/example-patient-01'"
            },
            "expression": [
              "Consent/ConsentGrantedExample01: Consent.patient"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/consent-kisumu-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Practitioner/example-practitioner-01'"
            },
            "expression": [
              "Consent/ConsentGrantedExample01: Consent.performer[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 30
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/consent-kisumu-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Organization/kisumu-county-hospital'"
            },
            "expression": [
              "Consent/ConsentGrantedExample01: Consent.organization[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/Consent#ppc-1"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/consent-kisumu-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: ppc-1: 'Either a Policy or PolicyRule (policy.exists() or policyRule.exists())' (defined in http://hl7.org/fhir/StructureDefinition/Consent)"
            },
            "expression": [
              "Consent/ConsentGrantedExample01: Consent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/Encounter-KisumuEncounterExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-KisumuEncounterExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "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": "UNKNOWN_CODESYSTEM"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/ksm-patient-encounter|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://fhir.kisumuhealth.co.ke/CodeSystem/EncounterServiceType' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Encounter/KisumuEncounterExample: Encounter.serviceType.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/MedicationDispense-ExampleMedicationDispense",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationDispense-ExampleMedicationDispense",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 59
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/MedicationDispenseProfile|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hospital.org/medication-dispenses'"
            },
            "expression": [
              "MedicationDispense/ExampleMedicationDispense: MedicationDispense.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 15
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/MedicationDispenseProfile|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Amoxicillin 500mg Capsule' for http://www.nlm.nih.gov/research/umls/rxnorm#1049630. Valid display is one of 3 choices: 'diphenhydramine hydrochloride 25 MG Oral Tablet' (en-US), 'diphenhydrAMINE hydrochloride 25 MG Oral Tablet' (en-US) or 'diphenhydrAMINE HCl 25 MG Oral Tablet' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "MedicationDispense/ExampleMedicationDispense: MedicationDispense.medication.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/MedicationDispenseProfile|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Patient/example'"
            },
            "expression": [
              "MedicationDispense/ExampleMedicationDispense: MedicationDispense.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/MedicationDispenseProfile|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Encounter/example'"
            },
            "expression": [
              "MedicationDispense/ExampleMedicationDispense: MedicationDispense.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/MedicationStatement-KCHIPMedicationStatementExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationStatement-KCHIPMedicationStatementExample"
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/Observation-Example-KsmUltraSoundObservation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Example-KsmUltraSoundObservation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 132
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/ksm-ultrasound-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Ultrasound scan' for http://snomed.info/sct#118245000. Valid display is one of 4 choices: 'Finding by measurement' (en), 'Finding by measurement (finding)' (en), 'Measurement finding' (en) or 'Measurement finding (finding)' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/Example-KsmUltraSoundObservation: Observation.code.coding[0].display"
            ]
          },
          {
            "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": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/ksm-ultrasound-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Patient/1234'"
            },
            "expression": [
              "Observation/Example-KsmUltraSoundObservation: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/ksm-ultrasound-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Ultrasound scan requested' for http://snomed.info/sct#103315006. Valid display is one of 6 choices: 'Patient action required' (en), 'Patient responsible for' (en), 'Patient action required by' (en), 'Patient action required for' (en), 'Patient action required (contextual qualifier) (qualifier value)' (en) or 'Patient action required (contextual qualifier)' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/Example-KsmUltraSoundObservation: Observation.component[0].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 36
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/ksm-ultrasound-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Diagnostic procedure ordered' for http://snomed.info/sct#3457005. Valid display is one of 5 choices: 'Patient referral' (en), 'Patient referral, NOS' (en), 'Patient referral (procedure)' (en), 'Referral procedure' (en) or 'Referral' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/Example-KsmUltraSoundObservation: Observation.component[1].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/ksm-ultrasound-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Ultrasound scan done' for http://snomed.info/sct#371525003. Valid display is one of 4 choices: 'Clinical procedure report (qualifier value)' (en), 'Clinical procedure report' (en), 'Report of procedure' (en) or 'Clinical procedure report (record artifact)' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/Example-KsmUltraSoundObservation: Observation.component[2].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 60
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/ksm-ultrasound-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Ultrasound study date' for http://loinc.org#34574-4. Valid display is one of 3 choices: 'Pathology report final diagnosis' (en-US), 'Pathology report final diagnosis' (en-US) or 'Path report.final Dx Spec' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/Example-KsmUltraSoundObservation: Observation.component[3].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 72
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/ksm-ultrasound-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Procedure not done reason' for http://snomed.info/sct#183966005. Valid display is one of 3 choices: 'Drug treatment not indicated' (en), 'Drug treatment not indicated (context-dependent category)' (en) or 'Drug treatment not indicated (situation)' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/Example-KsmUltraSoundObservation: Observation.component[4].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 81
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/ksm-ultrasound-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Equipment not available' for http://fhir.kisumuhealth.co.ke/CodeSystem/anc-reason-ultrasound-not-done#11626002. Valid display is 'Technician unavailable' (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/Example-KsmUltraSoundObservation: Observation.component[4].value.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 81
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_1_CC"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/ksm-ultrasound-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "None of the codings provided are in the value set 'Encounter Service Type' (http://example.org/fhir/ValueSet/encounter-servicetype-vs|0.1.0), and a coding from this value set is required) (codes = http://fhir.kisumuhealth.co.ke/CodeSystem/anc-reason-ultrasound-not-done#11626002)"
            },
            "expression": [
              "Observation/Example-KsmUltraSoundObservation: Observation.component[4].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 92
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/ksm-ultrasound-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Amniotic fluid volume' for http://loinc.org#11882-8. Valid display is one of 3 choices: 'Fetal Sex US' (en-US), 'Fetal Sex US' (en-US) or 'Fet Sex US' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/Example-KsmUltraSoundObservation: Observation.component[5].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 101
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_1_CC"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/ksm-ultrasound-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "None of the codings provided are in the value set 'Encounter Service Type' (http://example.org/fhir/ValueSet/encounter-servicetype-vs|0.1.0), and a coding from this value set is required) (codes = http://fhir.kisumuhealth.co.ke/CodeSystem/anc-amniotic-fluid-level-cs#386661006)"
            },
            "expression": [
              "Observation/Example-KsmUltraSoundObservation: Observation.component[5].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/ksm-ultrasound-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Placenta location' for http://loinc.org#11876-0. Valid display is one of 3 choices: 'Fetal presentation palpation' (en-US), 'Fetal presentation palpation' (en-US) or 'Fet pres Palpation' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/Example-KsmUltraSoundObservation: Observation.component[6].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/ksm-ultrasound-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Anterior placenta' for http://fhir.kisumuhealth.co.ke/CodeSystem/anc-placenta-location#187295000. Valid display is 'Placenta praevia' (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/Example-KsmUltraSoundObservation: Observation.component[6].value.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_1_CC"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/ksm-ultrasound-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "None of the codings provided are in the value set 'Encounter Service Type' (http://example.org/fhir/ValueSet/encounter-servicetype-vs|0.1.0), and a coding from this value set is required) (codes = http://fhir.kisumuhealth.co.ke/CodeSystem/anc-placenta-location#187295000)"
            },
            "expression": [
              "Observation/Example-KsmUltraSoundObservation: Observation.component[6].value.ofType(CodeableConcept)"
            ]
          },
          {
            "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/Example-KsmUltraSoundObservation: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/Observation-ExampleObservation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ExampleObservation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/ksm-anc-observation|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hospital.org/observations'"
            },
            "expression": [
              "Observation/ExampleObservation: Observation.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/ksm-anc-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Patient/example'"
            },
            "expression": [
              "Observation/ExampleObservation: Observation.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 55
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/ksm-anc-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Oral cavity structure' for http://snomed.info/sct#368209003. Valid display is one of 4 choices: 'Right upper arm' (en), 'Right arm' (en), 'Right upper arm structure' (en) or 'Right upper arm structure (body structure)' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/ExampleObservation: Observation.bodySite.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 64
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/ksm-anc-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Thermometry' for http://snomed.info/sct#89003005. Valid display is one of 3 choices: 'Oral temperature taking' (en), 'Oral temperature taking (procedure)' (en) or 'Oral temperature taking (regime/therapy)' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/ExampleObservation: Observation.method.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/ksm-anc-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Oral temperature' for http://loinc.org#8327-9. Valid display is one of 3 choices: 'Body temperature measurement site' (en-US), 'Body temperature measurement site' (en-US) or 'Bdy temp measurement site' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/ExampleObservation: Observation.component[0].code.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": "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/ExampleObservation: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/Observation-KCHIPANCVitalsExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-KCHIPANCVitalsExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 85
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/kchip-anc-vitals|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Fundal height of Uterus by Tape measure' for http://loinc.org#11881-0. Valid display is one of 3 choices: 'Uterus Fundal height Tape measure' (en-US), 'Uterus Fundal height Tape measure' (en-US) or 'Uterus Fundal height Tape measure' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/KCHIPANCVitalsExample: Observation.component[4].code.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": "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/KCHIPANCVitalsExample: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/Observation-KCHIPDangerSignsExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-KCHIPDangerSignsExample",
        "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": "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/KCHIPDangerSignsExample: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/Observation-KCHIPLabResultsExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-KCHIPLabResultsExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/kchip-lab-results|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Reagin Ab [Units/volume] in Serum' for http://loinc.org#20507-0. Valid display is one of 3 choices: 'Reagin Ab [Presence] in Serum by RPR' (en-US), 'Reagin Ab [Presence] in Serum by RPR' (en-US) or 'RPR Ser Ql' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/KCHIPLabResultsExample: Observation.component[2].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 68
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/kchip-lab-results|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '882-2' in the CodeSystem 'http://loinc.org' version '2.82'"
            },
            "expression": [
              "Observation/KCHIPLabResultsExample: Observation.component[3].code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 88
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/kchip-lab-results|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Protein [Mass/volume] in Urine' for http://loinc.org#5804-0. Valid display is one of 3 choices: 'Protein [Mass/volume] in Urine by Test strip' (en-US), 'Protein [Mass/volume] in Urine by Test strip' (en-US) or 'Prot Ur Strip-mCnc' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/KCHIPLabResultsExample: Observation.component[4].code.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": "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/KCHIPLabResultsExample: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/Observation-KCHIPLabourObservationExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-KCHIPLabourObservationExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 37
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/kchip-labour-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Cervical dilation by pelvic exam' for http://loinc.org#20745-6. Valid display is one of 3 choices: 'Carbamates [Presence] in Gastric fluid by Screen method' (en-US), 'Carbamates [Presence] in Gastric fluid by Screen method' (en-US) or 'Carbamates Gast Ql Scn' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/KCHIPLabourObservationExample: Observation.component[1].code.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": "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/KCHIPLabourObservationExample: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/Observation-KCHIPPregnancyContextExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-KCHIPPregnancyContextExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/kchip-pregnancy-context|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Gravida' for http://loinc.org#11996-6. Valid display is one of 3 choices: '[#] Pregnancies' (en-US), '[#] Pregnancies' (en-US) or 'Pregnancies' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/KCHIPPregnancyContextExample: Observation.component[0].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/kchip-pregnancy-context|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of Pregnancies Narrative' for http://loinc.org#8691-8. Valid display is one of 3 choices: 'History of Travel' (en-US), 'History of Travel' (en-US) or 'Hx of Travel' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/KCHIPPregnancyContextExample: Observation.component[2].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 94
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/kchip-pregnancy-context|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Gestational age Estimated from last menstrual period and ultrasound' for http://loinc.org#11884-4. Valid display is one of 3 choices: 'Gestational age Estimated' (en-US), 'Gestational age Estimated' (en-US) or 'GA Clin est' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "Observation/KCHIPPregnancyContextExample: Observation.component[6].code.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": "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/KCHIPPregnancyContextExample: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/Organization-ksm-organization-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-ksm-organization-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/ksm-organization|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://moh.kenya/identifier/kmfl-code'"
            },
            "expression": [
              "Organization/ksm-organization-example: Organization.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://fhir.kisumuhealth.co.ke/StructureDefinition/ksm-organization#MustHaveMFLcode-1"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/ksm-organization|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: MustHaveMFLcode-1: 'The facility SHALL have atleast a Kenya Master Facility Code (KMFL) (identifier.slice('http://example.org/StructureDefinition/ksm-organization','KMFLCode').count() > 0)' (defined in http://fhir.kisumuhealth.co.ke/StructureDefinition/ksm-organization)"
            },
            "expression": [
              "Organization/ksm-organization-example: Organization"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/Patient-KisumuPatientExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-KisumuPatientExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 60
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/ksm-patient|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://moh.kenya/identifier/nationalID-no'"
            },
            "expression": [
              "Patient/KisumuPatientExample: Patient.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/ksm-patient|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://moh.kenya/identifier/NUPI'"
            },
            "expression": [
              "Patient/KisumuPatientExample: Patient.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/ksm-patient|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://moh.kenya/identifier/passport-No'"
            },
            "expression": [
              "Patient/KisumuPatientExample: Patient.identifier[2].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 23
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/ksm-patient|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://moh.kenya/identifier/birthCertificate-No'"
            },
            "expression": [
              "Patient/KisumuPatientExample: Patient.identifier[3].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 67
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/ksm-patient|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://moh.kenya/identifier/birthNotification-No'"
            },
            "expression": [
              "Patient/KisumuPatientExample: Patient.identifier[4].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://fhir.kisumuhealth.co.ke/StructureDefinition/ksm-patient#PatientIdentification-1"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/ksm-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: PatientIdentification-1: 'The Patient profile SHALL have at least one identifier \"NationaID\" or \"BirthCertificate\". (identifier.slice('http://example.org/StructureDefinition/ksm-patient','NationalIDNo').count() + identifier.slice('http://example.org/StructureDefinition/ksm-patient','BirthCertificateNo').count() > 0)' (defined in http://fhir.kisumuhealth.co.ke/StructureDefinition/ksm-patient)"
            },
            "expression": [
              "Patient/KisumuPatientExample: Patient"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/Practitioner-ExamplePractitioner",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-ExamplePractitioner",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "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://fhir.kisumuhealth.co.ke/StructureDefinition/PractitionerProfile|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hospital.org/practitioners'"
            },
            "expression": [
              "Practitioner/ExamplePractitioner: Practitioner.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/PractitionerProfile|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://medicalboard.org/licenses'"
            },
            "expression": [
              "Practitioner/ExamplePractitioner: Practitioner.qualification[0].identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 49
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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.kisumuhealth.co.ke/StructureDefinition/PractitionerProfile|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0360/2.7' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Practitioner/ExamplePractitioner: Practitioner.qualification[0].code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 52
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/PractitionerProfile|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://terminology.hl7.org/CodeSystem/v2-0360/2.7'"
            },
            "expression": [
              "Practitioner/ExamplePractitioner: Practitioner.qualification[0].code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/PractitionerProfile|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Organization/example-medical-board'"
            },
            "expression": [
              "Practitioner/ExamplePractitioner: Practitioner.qualification[0].issuer"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ServiceRequest-KCHIPReferralExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-KCHIPReferralExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 29
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/kchip-referral|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Practitioner/example-practitioner-01'"
            },
            "expression": [
              "ServiceRequest/KCHIPReferralExample: ServiceRequest.requester"
            ]
          },
          {
            "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": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://fhir.kisumuhealth.co.ke/StructureDefinition/kchip-referral|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Organization/kisumu-county-hospital'"
            },
            "expression": [
              "ServiceRequest/KCHIPReferralExample: ServiceRequest.performer[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-MedicationDispenseProfile",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-MedicationDispenseProfile"
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-PractitionerProfile",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-PractitionerProfile"
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-consent-decline-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-consent-decline-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for consent-decline-reason: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/consent-decline-reason: StructureDefinition.context[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-consent-kisumu-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-consent-kisumu-patient",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49575
              },
              {
                "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": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/consentcategorycodes'"
            },
            "expression": [
              "StructureDefinition/consent-kisumu-patient: StructureDefinition.snapshot.element[13].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100725
              },
              {
                "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": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/consentcategorycodes'"
            },
            "expression": [
              "StructureDefinition/consent-kisumu-patient: StructureDefinition.differential.element[5].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-kchip-anc-vitals",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-kchip-anc-vitals",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 377591
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Fundal height of Uterus by Tape measure' for http://loinc.org#11881-0. Valid display is one of 3 choices: 'Uterus Fundal height Tape measure' (en-US), 'Uterus Fundal height Tape measure' (en-US) or 'Uterus Fundal height Tape measure' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/kchip-anc-vitals: StructureDefinition.snapshot.element[119].pattern.ofType(CodeableConcept).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": 466205
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Fundal height of Uterus by Tape measure' for http://loinc.org#11881-0. Valid display is one of 3 choices: 'Uterus Fundal height Tape measure' (en-US), 'Uterus Fundal height Tape measure' (en-US) or 'Uterus Fundal height Tape measure' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/kchip-anc-vitals: StructureDefinition.differential.element[33].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-kchip-danger-signs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-kchip-danger-signs"
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-kchip-lab-results",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-kchip-lab-results",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 234447
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Reagin Ab [Units/volume] in Serum' for http://loinc.org#20507-0. Valid display is one of 3 choices: 'Reagin Ab [Presence] in Serum by RPR' (en-US), 'Reagin Ab [Presence] in Serum by RPR' (en-US) or 'RPR Ser Ql' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/kchip-lab-results: StructureDefinition.snapshot.element[80].pattern.ofType(CodeableConcept).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": 249394
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '882-2' in the CodeSystem 'http://loinc.org' version '2.82'"
            },
            "expression": [
              "StructureDefinition/kchip-lab-results: StructureDefinition.snapshot.element[89].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 264314
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Protein [Mass/volume] in Urine' for http://loinc.org#5804-0. Valid display is one of 3 choices: 'Protein [Mass/volume] in Urine by Test strip' (en-US), 'Protein [Mass/volume] in Urine by Test strip' (en-US) or 'Prot Ur Strip-mCnc' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/kchip-lab-results: StructureDefinition.snapshot.element[98].pattern.ofType(CodeableConcept).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": 275168
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Reagin Ab [Units/volume] in Serum' for http://loinc.org#20507-0. Valid display is one of 3 choices: 'Reagin Ab [Presence] in Serum by RPR' (en-US), 'Reagin Ab [Presence] in Serum by RPR' (en-US) or 'RPR Ser Ql' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/kchip-lab-results: StructureDefinition.differential.element[18].pattern.ofType(CodeableConcept).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": 275754
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '882-2' in the CodeSystem 'http://loinc.org' version '2.82'"
            },
            "expression": [
              "StructureDefinition/kchip-lab-results: StructureDefinition.differential.element[21].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 276373
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Protein [Mass/volume] in Urine' for http://loinc.org#5804-0. Valid display is one of 3 choices: 'Protein [Mass/volume] in Urine by Test strip' (en-US), 'Protein [Mass/volume] in Urine by Test strip' (en-US) or 'Prot Ur Strip-mCnc' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/kchip-lab-results: StructureDefinition.differential.element[24].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-kchip-labour-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-kchip-labour-observation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 218322
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Cervical dilation by pelvic exam' for http://loinc.org#20745-6. Valid display is one of 3 choices: 'Carbamates [Presence] in Gastric fluid by Screen method' (en-US), 'Carbamates [Presence] in Gastric fluid by Screen method' (en-US) or 'Carbamates Gast Ql Scn' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/kchip-labour-observation: StructureDefinition.snapshot.element[64].pattern.ofType(CodeableConcept).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": 289393
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Cervical dilation by pelvic exam' for http://loinc.org#20745-6. Valid display is one of 3 choices: 'Carbamates [Presence] in Gastric fluid by Screen method' (en-US), 'Carbamates [Presence] in Gastric fluid by Screen method' (en-US) or 'Carbamates Gast Ql Scn' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/kchip-labour-observation: StructureDefinition.differential.element[12].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-kchip-medication-statement",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-kchip-medication-statement"
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-kchip-pregnancy-context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-kchip-pregnancy-context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 228022
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Gravida' for http://loinc.org#11996-6. Valid display is one of 3 choices: '[#] Pregnancies' (en-US), '[#] Pregnancies' (en-US) or 'Pregnancies' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/kchip-pregnancy-context: StructureDefinition.snapshot.element[55].pattern.ofType(CodeableConcept).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": 257627
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of Pregnancies Narrative' for http://loinc.org#8691-8. Valid display is one of 3 choices: 'History of Travel' (en-US), 'History of Travel' (en-US) or 'Hx of Travel' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/kchip-pregnancy-context: StructureDefinition.snapshot.element[73].pattern.ofType(CodeableConcept).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": 325223
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Gestational age Estimated from last menstrual period and ultrasound' for http://loinc.org#11884-4. Valid display is one of 3 choices: 'Gestational age Estimated' (en-US), 'Gestational age Estimated' (en-US) or 'GA Clin est' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/kchip-pregnancy-context: StructureDefinition.snapshot.element[116].pattern.ofType(CodeableConcept).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": 342583
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Gravida' for http://loinc.org#11996-6. Valid display is one of 3 choices: '[#] Pregnancies' (en-US), '[#] Pregnancies' (en-US) or 'Pregnancies' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/kchip-pregnancy-context: StructureDefinition.differential.element[8].pattern.ofType(CodeableConcept).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": 343598
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of Pregnancies Narrative' for http://loinc.org#8691-8. Valid display is one of 3 choices: 'History of Travel' (en-US), 'History of Travel' (en-US) or 'Hx of Travel' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/kchip-pregnancy-context: StructureDefinition.differential.element[14].pattern.ofType(CodeableConcept).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": 346050
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Gestational age Estimated from last menstrual period and ultrasound' for http://loinc.org#11884-4. Valid display is one of 3 choices: 'Gestational age Estimated' (en-US), 'Gestational age Estimated' (en-US) or 'GA Clin est' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/kchip-pregnancy-context: StructureDefinition.differential.element[29].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-kchip-pregnancy-diagnosis",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-kchip-pregnancy-diagnosis"
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-kchip-referral",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-kchip-referral"
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-ksm-anc-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ksm-anc-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/ksm-anc-condition')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-ksm-anc-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ksm-anc-observation"
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-ksm-anc-relatedperson",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ksm-anc-relatedperson",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/ksm-anc-relatedperson')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-ksm-organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ksm-organization"
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-ksm-patient-appointment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ksm-patient-appointment",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74678
              },
              {
                "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/StructureDefinition#sdf-0"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: sdf-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation (name.matches('[A-Z]([A-Za-z0-9_]){0,254}'))'"
            },
            "expression": [
              "StructureDefinition/ksm-patient-appointment: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/ksm-patient-appointment')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-ksm-patient-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ksm-patient-encounter"
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-ksm-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ksm-patient"
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-ksm-ultrasound-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ksm-ultrasound-observation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 201976
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Ultrasound scan' for http://snomed.info/sct#118245000. Valid display is one of 4 choices: 'Finding by measurement' (en), 'Finding by measurement (finding)' (en), 'Measurement finding' (en) or 'Measurement finding (finding)' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.snapshot.element[14].pattern.ofType(CodeableConcept).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": 263337
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Ultrasound scan requested' for http://snomed.info/sct#103315006. Valid display is one of 6 choices: 'Patient action required' (en), 'Patient responsible for' (en), 'Patient action required by' (en), 'Patient action required for' (en), 'Patient action required (contextual qualifier) (qualifier value)' (en) or 'Patient action required (contextual qualifier)' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.snapshot.element[54].pattern.ofType(CodeableConcept).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": 280186
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Diagnostic procedure ordered' for http://snomed.info/sct#3457005. Valid display is one of 5 choices: 'Patient referral' (en), 'Patient referral, NOS' (en), 'Patient referral (procedure)' (en), 'Referral procedure' (en) or 'Referral' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.snapshot.element[64].pattern.ofType(CodeableConcept).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": 297036
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Ultrasound scan done' for http://snomed.info/sct#371525003. Valid display is one of 4 choices: 'Clinical procedure report (qualifier value)' (en), 'Clinical procedure report' (en), 'Report of procedure' (en) or 'Clinical procedure report (record artifact)' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.snapshot.element[74].pattern.ofType(CodeableConcept).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": 313859
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Ultrasound study date' for http://loinc.org#34574-4. Valid display is one of 3 choices: 'Pathology report final diagnosis' (en-US), 'Pathology report final diagnosis' (en-US) or 'Path report.final Dx Spec' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.snapshot.element[84].pattern.ofType(CodeableConcept).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": 330666
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Procedure not done reason' for http://snomed.info/sct#183966005. Valid display is one of 3 choices: 'Drug treatment not indicated' (en), 'Drug treatment not indicated (context-dependent category)' (en) or 'Drug treatment not indicated (situation)' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.snapshot.element[94].pattern.ofType(CodeableConcept).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": 347593
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Amniotic fluid volume' for http://loinc.org#11882-8. Valid display is one of 3 choices: 'Fetal Sex US' (en-US), 'Fetal Sex US' (en-US) or 'Fet Sex US' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.snapshot.element[104].pattern.ofType(CodeableConcept).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": 364529
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Placenta location' for http://loinc.org#11876-0. Valid display is one of 3 choices: 'Fetal presentation palpation' (en-US), 'Fetal presentation palpation' (en-US) or 'Fet pres Palpation' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.snapshot.element[114].pattern.ofType(CodeableConcept).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": 374786
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Ultrasound scan' for http://snomed.info/sct#118245000. Valid display is one of 4 choices: 'Finding by measurement' (en), 'Finding by measurement (finding)' (en), 'Measurement finding' (en) or 'Measurement finding (finding)' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).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": 375487
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Ultrasound scan requested' for http://snomed.info/sct#103315006. Valid display is one of 6 choices: 'Patient action required' (en), 'Patient responsible for' (en), 'Patient action required by' (en), 'Patient action required for' (en), 'Patient action required (contextual qualifier) (qualifier value)' (en) or 'Patient action required (contextual qualifier)' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.differential.element[8].pattern.ofType(CodeableConcept).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": 376234
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Diagnostic procedure ordered' for http://snomed.info/sct#3457005. Valid display is one of 5 choices: 'Patient referral' (en), 'Patient referral, NOS' (en), 'Patient referral (procedure)' (en), 'Referral procedure' (en) or 'Referral' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.differential.element[12].pattern.ofType(CodeableConcept).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": 376979
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Ultrasound scan done' for http://snomed.info/sct#371525003. Valid display is one of 4 choices: 'Clinical procedure report (qualifier value)' (en), 'Clinical procedure report' (en), 'Report of procedure' (en) or 'Clinical procedure report (record artifact)' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.differential.element[16].pattern.ofType(CodeableConcept).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": 377706
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Ultrasound study date' for http://loinc.org#34574-4. Valid display is one of 3 choices: 'Pathology report final diagnosis' (en-US), 'Pathology report final diagnosis' (en-US) or 'Path report.final Dx Spec' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.differential.element[20].pattern.ofType(CodeableConcept).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": 378435
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Procedure not done reason' for http://snomed.info/sct#183966005. Valid display is one of 3 choices: 'Drug treatment not indicated' (en), 'Drug treatment not indicated (context-dependent category)' (en) or 'Drug treatment not indicated (situation)' (en) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.differential.element[24].pattern.ofType(CodeableConcept).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": 379272
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Amniotic fluid volume' for http://loinc.org#11882-8. Valid display is one of 3 choices: 'Fetal Sex US' (en-US), 'Fetal Sex US' (en-US) or 'Fet Sex US' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.differential.element[28].pattern.ofType(CodeableConcept).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": 380109
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Placenta location' for http://loinc.org#11876-0. Valid display is one of 3 choices: 'Fetal presentation palpation' (en-US), 'Fetal presentation palpation' (en-US) or 'Fet pres Palpation' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.differential.element[32].pattern.ofType(CodeableConcept).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": 374246
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'ultrasoundRequired' on path 'Observation.component' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.snapshot"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 374246
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'ultrasoundOrdered' on path 'Observation.component' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.snapshot"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 374246
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'ultrasoundConducted' on path 'Observation.component' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.snapshot"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 374246
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'ultrasoundDate' on path 'Observation.component' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.snapshot"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 374246
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'reasonNotDone' on path 'Observation.component' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.snapshot"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 374246
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'amnioticFluidLevel' on path 'Observation.component' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.snapshot"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 374246
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'placentaLocation' on path 'Observation.component' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/ksm-ultrasound-observation: StructureDefinition.snapshot"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-appointment-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-appointment-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-appointment-status: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-appointment-status: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-appointment-status')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-baby-immunization-started",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-baby-immunization-started",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-baby-immunization-started: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-baby-immunization-started: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-baby-immunization-started')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-blood-loss",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-blood-loss",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-blood-loss: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-blood-loss: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-blood-loss')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-condition-of-mother",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-condition-of-mother",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-condition-of-mother: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-condition-of-mother: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-condition-of-mother')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'onsetDateTime' on path 'Condition.onset[x]' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/mnch-condition: StructureDefinition.snapshot"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-condition')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-cotrimoxazole-mother",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-cotrimoxazole-mother",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-cotrimoxazole-mother: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-cotrimoxazole-mother: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-cotrimoxazole-mother')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-delivery-by",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-delivery-by",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-delivery-by: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-delivery-by: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-delivery-by')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-delivery-complications",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-delivery-complications",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-delivery-complications: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-delivery-complications: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-delivery-complications')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-delivery-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-delivery-encounter",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-delivery-encounter')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-drugs-at-delivery",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-drugs-at-delivery",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-drugs-at-delivery: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-drugs-at-delivery: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-drugs-at-delivery')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-fp-counseling",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-fp-counseling",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-fp-counseling: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-fp-counseling: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-fp-counseling')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-fp-method",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-fp-method",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-fp-method: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-fp-method: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-fp-method')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-hei-art-prophylaxis",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-hei-art-prophylaxis",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-hei-art-prophylaxis: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-hei-art-prophylaxis: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-hei-art-prophylaxis')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-hiv-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-hiv-observation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-hiv-observation')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-hiv-retesting",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-hiv-retesting",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-hiv-retesting: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-hiv-retesting: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-hiv-retesting')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-infant-cotrimoxazole",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-infant-cotrimoxazole",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-infant-cotrimoxazole: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-infant-cotrimoxazole: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-infant-cotrimoxazole')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-meconium-stained-liquor",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-meconium-stained-liquor",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-meconium-stained-liquor: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-meconium-stained-liquor: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-meconium-stained-liquor')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-mode-of-delivery-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-mode-of-delivery-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-mode-of-delivery-procedure: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-mode-of-delivery-procedure: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-mode-of-delivery-procedure')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-mode-of-delivery",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-mode-of-delivery",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-mode-of-delivery: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-mode-of-delivery: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-mode-of-delivery')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-mother-haart-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-mother-haart-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-mother-haart-status: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-mother-haart-status: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-mother-haart-status')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-newborn-vitals",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-newborn-vitals",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 230829
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Body height --at birth' for http://loinc.org#8305-5. Valid display is one of 3 choices: 'Body height --post partum' (en-US), 'Body height --post partum' (en-US) or 'Body height p partum' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/mnch-newborn-vitals: StructureDefinition.snapshot.element[70].pattern.ofType(CodeableConcept).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": 315996
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Body height --at birth' for http://loinc.org#8305-5. Valid display is one of 3 choices: 'Body height --post partum' (en-US), 'Body height --post partum' (en-US) or 'Body height p partum' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/mnch-newborn-vitals: StructureDefinition.differential.element[13].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-newborn-vitals')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-obstructed-labour",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-obstructed-labour",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-obstructed-labour: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-obstructed-labour: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-obstructed-labour')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-place-of-delivery",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-place-of-delivery",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-place-of-delivery: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-place-of-delivery: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-place-of-delivery')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-pnc-baby-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-pnc-baby-observation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 199651
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Physical findings of General status Narrative' for http://loinc.org#32432-7. Valid display is one of 3 choices: 'Physical findings of Face' (en-US), 'Physical findings of Face' (en-US) or 'Phys find Face' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-baby-observation: StructureDefinition.snapshot.element[54].pattern.ofType(CodeableConcept).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": 260483
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Infant feeding method' for http://loinc.org#63895-7. Valid display is one of 3 choices: 'Breastfeeding status' (en-US), 'Breastfeeding status' (en-US) or 'Breastfeeding status' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-baby-observation: StructureDefinition.snapshot.element[95].pattern.ofType(CodeableConcept).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": 275380
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Breastfeeding attachment' for http://loinc.org#63895-7. Valid display is one of 3 choices: 'Breastfeeding status' (en-US), 'Breastfeeding status' (en-US) or 'Breastfeeding status' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-baby-observation: StructureDefinition.snapshot.element[104].pattern.ofType(CodeableConcept).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": 290254
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '29276-7' in the CodeSystem 'http://loinc.org' version '2.82'"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-baby-observation: StructureDefinition.snapshot.element[113].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 298909
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Physical findings of General status Narrative' for http://loinc.org#32432-7. Valid display is one of 3 choices: 'Physical findings of Face' (en-US), 'Physical findings of Face' (en-US) or 'Phys find Face' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-baby-observation: StructureDefinition.differential.element[6].pattern.ofType(CodeableConcept).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": 301105
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Infant feeding method' for http://loinc.org#63895-7. Valid display is one of 3 choices: 'Breastfeeding status' (en-US), 'Breastfeeding status' (en-US) or 'Breastfeeding status' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-baby-observation: StructureDefinition.differential.element[21].pattern.ofType(CodeableConcept).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": 301605
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Breastfeeding attachment' for http://loinc.org#63895-7. Valid display is one of 3 choices: 'Breastfeeding status' (en-US), 'Breastfeeding status' (en-US) or 'Breastfeeding status' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-baby-observation: StructureDefinition.differential.element[24].pattern.ofType(CodeableConcept).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": 302082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '29276-7' in the CodeSystem 'http://loinc.org' version '2.82'"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-baby-observation: StructureDefinition.differential.element[27].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-pnc-baby-observation')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-pnc-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-pnc-encounter",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-pnc-encounter')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-pnc-maternal-vitals",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-pnc-maternal-vitals",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 305075
              },
              {
                "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 '55284-4' has a status of DISCOURAGED and its use should be reviewed"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-maternal-vitals: StructureDefinition.snapshot.element[54].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": 419933
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Physical findings of General status Narrative' for http://loinc.org#32432-7. Valid display is one of 3 choices: 'Physical findings of Face' (en-US), 'Physical findings of Face' (en-US) or 'Phys find Face' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-maternal-vitals: StructureDefinition.snapshot.element[134].pattern.ofType(CodeableConcept).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": 434753
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Physical findings of Breast Narrative' for http://loinc.org#32449-1. Valid display is one of 3 choices: 'Physical findings of Lung' (en-US), 'Physical findings of Lung' (en-US) or 'Phys find Lung' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-maternal-vitals: StructureDefinition.snapshot.element[143].pattern.ofType(CodeableConcept).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": 449515
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '79916-9' in the CodeSystem 'http://loinc.org' version '2.82'"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-maternal-vitals: StructureDefinition.snapshot.element[152].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 464331
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '11879-1' in the CodeSystem 'http://loinc.org' version '2.82'"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-maternal-vitals: StructureDefinition.snapshot.element[161].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 479157
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '73695-6' in the CodeSystem 'http://loinc.org' version '2.82'"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-maternal-vitals: StructureDefinition.snapshot.element[170].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 493941
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Vaginal discharge [Volume]' for http://loinc.org#8673-6. Valid display is one of 3 choices: 'History of Hematologic system disorders' (en-US), 'History of Hematologic system disorders' (en-US) or 'Hx of Hematologic disorders' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-maternal-vitals: StructureDefinition.snapshot.element[179].pattern.ofType(CodeableConcept).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": 508745
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Physical findings of Pelvis Narrative' for http://loinc.org#32548-0. Valid display is one of 3 choices: 'Nitroprusside reacting substances [Presence] in Urine' (en-US), 'Nitroprusside reacting substances [Presence] in Urine' (en-US) or 'Nitroprusside Test Ur Ql' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-maternal-vitals: StructureDefinition.snapshot.element[188].pattern.ofType(CodeableConcept).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": 517371
              },
              {
                "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 '55284-4' has a status of DISCOURAGED and its use should be reviewed"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-maternal-vitals: StructureDefinition.differential.element[6].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": 521670
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Physical findings of General status Narrative' for http://loinc.org#32432-7. Valid display is one of 3 choices: 'Physical findings of Face' (en-US), 'Physical findings of Face' (en-US) or 'Phys find Face' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-maternal-vitals: StructureDefinition.differential.element[36].pattern.ofType(CodeableConcept).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": 522135
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Physical findings of Breast Narrative' for http://loinc.org#32449-1. Valid display is one of 3 choices: 'Physical findings of Lung' (en-US), 'Physical findings of Lung' (en-US) or 'Phys find Lung' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-maternal-vitals: StructureDefinition.differential.element[39].pattern.ofType(CodeableConcept).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": 522572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '79916-9' in the CodeSystem 'http://loinc.org' version '2.82'"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-maternal-vitals: StructureDefinition.differential.element[42].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 523033
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '11879-1' in the CodeSystem 'http://loinc.org' version '2.82'"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-maternal-vitals: StructureDefinition.differential.element[45].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 523492
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '73695-6' in the CodeSystem 'http://loinc.org' version '2.82'"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-maternal-vitals: StructureDefinition.differential.element[48].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 523939
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Vaginal discharge [Volume]' for http://loinc.org#8673-6. Valid display is one of 3 choices: 'History of Hematologic system disorders' (en-US), 'History of Hematologic system disorders' (en-US) or 'Hx of Hematologic disorders' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-maternal-vitals: StructureDefinition.differential.element[51].pattern.ofType(CodeableConcept).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": 524406
              },
              {
                "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://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Physical findings of Pelvis Narrative' for http://loinc.org#32548-0. Valid display is one of 3 choices: 'Nitroprusside reacting substances [Presence] in Urine' (en-US), 'Nitroprusside reacting substances [Presence] in Urine' (en-US) or 'Nitroprusside Test Ur Ql' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-maternal-vitals: StructureDefinition.differential.element[54].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-pnc-maternal-vitals')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-pnc-timing",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-pnc-timing",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-pnc-timing: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-pnc-timing: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-pnc-timing')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-preeclampsia-eclampsia",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-preeclampsia-eclampsia",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-preeclampsia-eclampsia: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-preeclampsia-eclampsia: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-preeclampsia-eclampsia')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 93973
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'performedDateTime' on path 'Procedure.performed[x]' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/mnch-procedure: StructureDefinition.snapshot"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-procedure')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/StructureDefinition-mnch-resuscitation-done",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-mnch-resuscitation-done",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for mnch-resuscitation-done: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/mnch-resuscitation-done: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://fhir.kisumuhealth.co.ke/StructureDefinition/mnch-resuscitation-done')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-KCHIPBloodGroupVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-KCHIPBloodGroupVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2723
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/KCHIPBloodGroupVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-KCHIPDiagnosisVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-KCHIPDiagnosisVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3471
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/KCHIPDiagnosisVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-KCHIPFetalLieVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-KCHIPFetalLieVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1957
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/KCHIPFetalLieVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-KCHIPFetalPresentationVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-KCHIPFetalPresentationVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2179
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/KCHIPFetalPresentationVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-KCHIPHIVStatusVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-KCHIPHIVStatusVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/KCHIPHIVStatusVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-KCHIPLabourOnsetVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-KCHIPLabourOnsetVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1744
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/KCHIPLabourOnsetVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-KCHIPLiquorColourVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-KCHIPLiquorColourVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1942
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/KCHIPLiquorColourVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-KCHIPMembraneStatusVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-KCHIPMembraneStatusVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1609
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/KCHIPMembraneStatusVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-KCHIPSyphilisStatusVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-KCHIPSyphilisStatusVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1841
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/KCHIPSyphilisStatusVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-KCHIPUrineProteinVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-KCHIPUrineProteinVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/KCHIPUrineProteinVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-MNCHAppointmentStatusVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-MNCHAppointmentStatusVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/MNCHAppointmentStatusVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-MNCHBloodLossVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-MNCHBloodLossVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1799
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/MNCHBloodLossVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-MNCHConditionCodeVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-MNCHConditionCodeVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5048
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '48723009' is not valid in the system http://snomed.info/sct (Unknown code '48723009' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition))"
            },
            "expression": [
              "ValueSet/MNCHConditionCodeVS: ValueSet.compose.include[0].concept[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '6757007' is not valid in the system http://snomed.info/sct (Unknown code '6757007' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition))"
            },
            "expression": [
              "ValueSet/MNCHConditionCodeVS: ValueSet.compose.include[0].concept[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5168
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '415068001' is not valid in the system http://snomed.info/sct (Unknown code '415068001' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition))"
            },
            "expression": [
              "ValueSet/MNCHConditionCodeVS: ValueSet.compose.include[0].concept[19]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5248
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '206307003' is not valid in the system http://snomed.info/sct (Unknown code '206307003' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition))"
            },
            "expression": [
              "ValueSet/MNCHConditionCodeVS: ValueSet.compose.include[0].concept[23]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5268
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "INACTIVE_CONCEPT_FOUND"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept '66214007' has a status of inactive and its use should be reviewed"
            },
            "expression": [
              "ValueSet/MNCHConditionCodeVS: ValueSet.compose.include[0].concept[24]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5310
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '276596005' is not valid in the system http://snomed.info/sct (Unknown code '276596005' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition))"
            },
            "expression": [
              "ValueSet/MNCHConditionCodeVS: ValueSet.compose.include[0].concept[26]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5371
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '53431008' is not valid in the system http://snomed.info/sct (Unknown code '53431008' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition))"
            },
            "expression": [
              "ValueSet/MNCHConditionCodeVS: ValueSet.compose.include[0].concept[29]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5376
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/MNCHConditionCodeVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-MNCHConditionSeverityVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-MNCHConditionSeverityVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1533
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "INACTIVE_DISPLAY_FOUND"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "'Moderate' is no longer considered a correct display for code '6736007' (status = inactive). The correct display is one of Midgrade,Moderate (severity modifier) (qualifier value),Moderate (severity modifier),Moderate severity"
            },
            "expression": [
              "ValueSet/MNCHConditionSeverityVS: ValueSet.compose.include[0].concept[1].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1577
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/MNCHConditionSeverityVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-MNCHDeliveryCadreVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-MNCHDeliveryCadreVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1832
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/MNCHDeliveryCadreVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-MNCHDeliveryComplicationsVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-MNCHDeliveryComplicationsVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3195
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/MNCHDeliveryComplicationsVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-MNCHDeliveryModeVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-MNCHDeliveryModeVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/MNCHDeliveryModeVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-MNCHFamilyPlanningMethodVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-MNCHFamilyPlanningMethodVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2248
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/MNCHFamilyPlanningMethodVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-MNCHHAARTStatusVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-MNCHHAARTStatusVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1692
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/MNCHHAARTStatusVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-MNCHHIVResultVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-MNCHHIVResultVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1880
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/MNCHHIVResultVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-MNCHPNCTimingVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-MNCHPNCTimingVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1687
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/MNCHPNCTimingVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-MNCHPlaceOfDeliveryVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-MNCHPlaceOfDeliveryVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1543
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/MNCHPlaceOfDeliveryVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-MNCHProcedureCodeVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-MNCHProcedureCodeVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published value sets SHOULD conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/MNCHProcedureCodeVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-anc-amniotic-fluid-level-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-anc-amniotic-fluid-level-vs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://fhir.kisumuhealth.co.ke/ValueSet/anc-amniotic-fluid-level-vs vs http://example.org/fhir/ValueSet/encounter-servicetype-vs"
            },
            "expression": [
              "/scratch/repo/fsh-generated/resources/ValueSet-anc-amniotic-fluid-level-vs"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-anc-placenta-location-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-anc-placenta-location-vs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://fhir.kisumuhealth.co.ke/ValueSet/anc-placenta-location-vs vs http://example.org/fhir/ValueSet/encounter-servicetype-vs"
            },
            "expression": [
              "/scratch/repo/fsh-generated/resources/ValueSet-anc-placenta-location-vs"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-anc-reason-ultrasound-not-done-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-anc-reason-ultrasound-not-done-vs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://fhir.kisumuhealth.co.ke/ValueSet/anc-reason-ultrasound-not-done-vs vs http://example.org/fhir/ValueSet/encounter-servicetype-vs"
            },
            "expression": [
              "/scratch/repo/fsh-generated/resources/ValueSet-anc-reason-ultrasound-not-done-vs"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-encounter-servicetype-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-encounter-servicetype-vs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://fhir.kisumuhealth.co.ke/ValueSet/encounter-servicetype-vs vs http://example.org/fhir/ValueSet/encounter-servicetype-vs"
            },
            "expression": [
              "/scratch/repo/fsh-generated/resources/ValueSet-encounter-servicetype-vs"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir.kisumuhealth.co.ke/OperationOutcome/ValueSet-gender-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-gender-vs"
      }
    }
  ]
}