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Source1

{
  "resourceType": "OperationOutcome",
  "id": "operation-outcome-validate",
  "meta": {
    "profile": [
      "https://fhir.nwgenomics.nhs.uk/StructureDefinition/OperationOutcome"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-file",
      "valueString": "c:\\validate\\5edc5fdd-6c00-4875-a7da-e1cdf674a92e-in.json"
    }
  ],
  "issue": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 437
        },
        {
          "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": "Validation_VAL_Profile_Minimum"
        }
      ],
      "severity": "error",
      "code": "structure",
      "details": {
        "text": "ServiceRequest.identifier: minimum required = 1, but only found 0 (from https://fhir.nwgenomics.nhs.uk/StructureDefinition/ServiceRequest|0.0.6)"
      },
      "expression": [
        "Bundle.entry[8].resource"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 437
        },
        {
          "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": "Extension_EXTP_Context_Wrong"
        }
      ],
      "severity": "error",
      "code": "structure",
      "details": {
        "text": "The extension https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact is not allowed to be used at this point (allowed = e:ServiceRequest; this element is [Bundle.entry.resource])"
      },
      "expression": [
        "Bundle.entry[8].resource"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 437
        },
        {
          "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": "Extension_EXTP_Context_Wrong"
        }
      ],
      "severity": "error",
      "code": "structure",
      "details": {
        "text": "The extension https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage is not allowed to be used at this point (allowed = e:ServiceRequest; this element is [Bundle.entry.resource])"
      },
      "expression": [
        "Bundle.entry[8].resource"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 492
        },
        {
          "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_CantMatchChoice"
        }
      ],
      "severity": "error",
      "code": "structure",
      "details": {
        "text": "Unable to find a profile match for PractitionerRole/PractitionerRole-HazelSmithKingstonPathology-Example among choices: https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerRole"
      },
      "expression": [
        "Bundle.entry[8].resource.requester"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 575
        },
        {
          "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": "MSG_RETIRED"
        }
      ],
      "severity": "information",
      "code": "business-rule",
      "details": {
        "text": "Reference to retired CodeSystem https://fhir.hl7.org.uk/CodeSystem/UKCore-BiopsyState|1.0.0"
      },
      "expression": [
        "Bundle.entry[9].resource/*Specimen/Specimen-CancerSolidTumor-Example*/.condition[0]"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 350
        },
        {
          "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": "BUNDLE_BUNDLE_ENTRY_REVERSE_MSG"
        }
      ],
      "severity": "information",
      "code": "informational",
      "details": {
        "text": "Entry 'http://example.org/fhir/Observation/Observation-Necrosis-Example' isn't reachable by traversing forwards from the MessageHeader. Check that this is meant to be included (needed to process the message)"
      },
      "expression": [
        "Bundle.entry[12]"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 509
        },
        {
          "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": "Details_for__matching_against_Profile_"
        }
      ],
      "severity": "information",
      "code": "informational",
      "details": {
        "text": "This element does not match any known slice defined in the profile https://fhir.nwgenomics.nhs.uk/StructureDefinition/ServiceRequest|0.0.6 (this may not be a problem, but you should check that it's not intended to match a slice)"
      },
      "expression": [
        "Bundle.entry[8].resource.supportingInfo[0]"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 512
        },
        {
          "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": "Details_for__matching_against_Profile_"
        }
      ],
      "severity": "information",
      "code": "informational",
      "details": {
        "text": "This element does not match any known slice defined in the profile https://fhir.nwgenomics.nhs.uk/StructureDefinition/ServiceRequest|0.0.6 (this may not be a problem, but you should check that it's not intended to match a slice)"
      },
      "expression": [
        "Bundle.entry[8].resource.supportingInfo[1]"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 515
        },
        {
          "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": "Details_for__matching_against_Profile_"
        }
      ],
      "severity": "information",
      "code": "informational",
      "details": {
        "text": "This element does not match any known slice defined in the profile https://fhir.nwgenomics.nhs.uk/StructureDefinition/ServiceRequest|0.0.6 (this may not be a problem, but you should check that it's not intended to match a slice)"
      },
      "expression": [
        "Bundle.entry[8].resource.supportingInfo[2]"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 76
        },
        {
          "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_3_CC"
        }
      ],
      "severity": "information",
      "code": "code-invalid",
      "details": {
        "text": "None of the codings provided are in the value set 'Practice Setting Code Value Set' (http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1), and a coding is recommended to come from this value set (codes = https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode#820)"
      },
      "expression": [
        "Bundle.entry[1].resource/*PractitionerRole/PractitionerRole-HazelSmithKingstonPathology-Example*/.specialty[0]"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 132
        },
        {
          "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_3_CC"
        }
      ],
      "severity": "information",
      "code": "code-invalid",
      "details": {
        "text": "None of the codings provided are in the value set 'Practice Setting Code Value Set' (http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1), and a coding is recommended to come from this value set (codes = https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode#820)"
      },
      "expression": [
        "Bundle.entry[2].resource/*PractitionerRole/PractitionerRole-JamesTaylorKingstonPathology-Example*/.specialty[0]"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 184
        },
        {
          "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_3_CC"
        }
      ],
      "severity": "information",
      "code": "code-invalid",
      "details": {
        "text": "None of the codings provided are in the value set 'Practice Setting Code Value Set' (http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1), and a coding is recommended to come from this value set (codes = https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode#820)"
      },
      "expression": [
        "Bundle.entry[3].resource/*PractitionerRole/PractitionerRole-AnnaLaneKingstonPathology-Example*/.specialty[0]"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 476
        },
        {
          "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_3_CC"
        }
      ],
      "severity": "information",
      "code": "code-invalid",
      "details": {
        "text": "None of the codings provided are in the value set 'Laboratory Order' (http://hl7.eu/fhir/laboratory/ValueSet/lab-orderCodes-eu-lab|0.1.1), and a coding is recommended to come from this value set (codes = https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory#M119.5)"
      },
      "expression": [
        "Bundle.entry[8].resource.code"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 502
        },
        {
          "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_3_CC"
        }
      ],
      "severity": "information",
      "code": "code-invalid",
      "details": {
        "text": "None of the codings provided are in the value set 'Genomic Condition Codes' (https://fhir.nwgenomics.nhs.uk/ValueSet/genomic-condition-codes|0.0.6), and a coding is recommended to come from this value set (codes = https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics#relapse)"
      },
      "expression": [
        "Bundle.entry[8].resource.reasonCode[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": "Bundle_BUNDLE_Entry_NotFound"
        }
      ],
      "severity": "information",
      "code": "not-found",
      "details": {
        "text": "Can't find 'https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307555' in the bundle (Bundle.entry[4].resource.link[0].other)"
      },
      "expression": [
        "Bundle"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 492
        },
        {
          "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": "Details_for__matching_against_Profile_"
        }
      ],
      "severity": "information",
      "code": "structure",
      "details": {
        "text": "Details for PractitionerRole/PractitionerRole-HazelSmithKingstonPathology-Example matching against profile https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerRole|0.0.6"
      },
      "expression": [
        "Bundle.entry[8].resource.requester"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 326
        },
        {
          "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": "Error_validating_code_running_without_terminology_services"
        }
      ],
      "severity": "warning",
      "code": "business-rule",
      "details": {
        "text": "Unable to validate code '%' in system 'http://unitsofmeasure.org' because the validator is running without terminology services"
      },
      "expression": [
        "Bundle.entry[5].resource/*Observation/Observation-MultipleTumors-Example*/.value.ofType(Quantity)"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 375
        },
        {
          "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": "Error_validating_code_running_without_terminology_services"
        }
      ],
      "severity": "warning",
      "code": "business-rule",
      "details": {
        "text": "Unable to validate code '%' in system 'http://unitsofmeasure.org' because the validator is running without terminology services"
      },
      "expression": [
        "Bundle.entry[6].resource/*Observation/Observation-Necrosis-Example*/.value.ofType(Quantity)"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 575
        },
        {
          "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_2_CC"
        }
      ],
      "severity": "warning",
      "code": "code-invalid",
      "details": {
        "text": "None of the codings provided are in the value set 'hl7VS-specimenCondition' (http://terminology.hl7.org/ValueSet/v2-0493|2.0.0), and a coding should come from this value set unless it has no suitable code (note that the validator cannot judge what is suitable) (codes = https://fhir.hl7.org.uk/CodeSystem/UKCore-BiopsyState#fresh-unfixed)"
      },
      "expression": [
        "Bundle.entry[9].resource/*Specimen/Specimen-CancerSolidTumor-Example*/.condition[0]"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 303
        },
        {
          "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": "All_observations_should_have_a_performer"
        }
      ],
      "severity": "warning",
      "code": "invalid",
      "details": {
        "text": "Best Practice Recommendation: In general, all observations should have a performer"
      },
      "expression": [
        "Bundle.entry[5].resource/*Observation/Observation-MultipleTumors-Example*/"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 303
        },
        {
          "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": "All_observations_should_have_a_performer"
        }
      ],
      "severity": "warning",
      "code": "invalid",
      "details": {
        "text": "Best Practice Recommendation: In general, all observations should have a performer"
      },
      "expression": [
        "Bundle.entry[5].resource"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 352
        },
        {
          "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": "All_observations_should_have_a_performer"
        }
      ],
      "severity": "warning",
      "code": "invalid",
      "details": {
        "text": "Best Practice Recommendation: In general, all observations should have a performer"
      },
      "expression": [
        "Bundle.entry[6].resource/*Observation/Observation-Necrosis-Example*/"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 352
        },
        {
          "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": "All_observations_should_have_a_performer"
        }
      ],
      "severity": "warning",
      "code": "invalid",
      "details": {
        "text": "Best Practice Recommendation: In general, all observations should have a performer"
      },
      "expression": [
        "Bundle.entry[6].resource"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 311
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
          "valueInteger": 8
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
          "valueString": "TerminologyEngine"
        }
      ],
      "severity": "warning",
      "code": "not-found",
      "details": {
        "text": "A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated"
      },
      "expression": [
        "Bundle.entry[5].resource/*Observation/Observation-MultipleTumors-Example*/.code.coding[0].system"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 339
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
          "valueInteger": 10
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
          "valueString": "TerminologyEngine"
        }
      ],
      "severity": "warning",
      "code": "not-found",
      "details": {
        "text": "A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated"
      },
      "expression": [
        "Bundle.entry[5].resource/*Observation/Observation-MultipleTumors-Example*/.component[0].code.coding[0].system"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 360
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
          "valueInteger": 8
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
          "valueString": "TerminologyEngine"
        }
      ],
      "severity": "warning",
      "code": "not-found",
      "details": {
        "text": "A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated"
      },
      "expression": [
        "Bundle.entry[6].resource/*Observation/Observation-Necrosis-Example*/.code.coding[0].system"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 420
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
          "valueInteger": 8
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
          "valueString": "TerminologyEngine"
        }
      ],
      "severity": "warning",
      "code": "not-found",
      "details": {
        "text": "A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated"
      },
      "expression": [
        "Bundle.entry[7].resource/*Condition/Condition-LungTumor-Example*/.code.coding[0].system"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 476
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
          "valueInteger": 8
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
          "valueString": "TerminologyEngine"
        }
      ],
      "severity": "warning",
      "code": "not-found",
      "details": {
        "text": "A definition for CodeSystem 'https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory' version '9' could not be found, so the code cannot be validated. Valid versions: [0.0.6]"
      },
      "expression": [
        "Bundle.entry[8].resource/*ServiceRequest/ServiceRequest-NonWGSTestOrderForm-CancerSolidTumor-Example*/.code.coding[0].system"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 476
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
          "valueInteger": 8
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
          "valueString": "TerminologyEngine"
        }
      ],
      "severity": "warning",
      "code": "not-found",
      "details": {
        "text": "A definition for CodeSystem 'https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory' version '9' could not be found, so the code cannot be validated. Valid versions: [0.0.6]"
      },
      "expression": [
        "Bundle.entry[8].resource.code.coding[0].system"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 502
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
          "valueInteger": 8
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
          "valueString": "TerminologyEngine"
        }
      ],
      "severity": "warning",
      "code": "not-found",
      "details": {
        "text": "A definition for CodeSystem 'https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics' could not be found, so the code cannot be validated"
      },
      "expression": [
        "Bundle.entry[8].resource/*ServiceRequest/ServiceRequest-NonWGSTestOrderForm-CancerSolidTumor-Example*/.reasonCode[0].coding[0].system"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 502
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
          "valueInteger": 8
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
          "valueString": "TerminologyEngine"
        }
      ],
      "severity": "warning",
      "code": "not-found",
      "details": {
        "text": "A definition for CodeSystem 'https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics' could not be found, so the code cannot be validated"
      },
      "expression": [
        "Bundle.entry[8].resource.reasonCode[0].coding[0].system"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 540
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
          "valueInteger": 8
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
          "valueString": "TerminologyEngine"
        }
      ],
      "severity": "warning",
      "code": "not-found",
      "details": {
        "text": "A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated"
      },
      "expression": [
        "Bundle.entry[9].resource/*Specimen/Specimen-CancerSolidTumor-Example*/.type.coding[0].system"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 593
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
          "valueInteger": 8
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
          "valueString": "TerminologyEngine"
        }
      ],
      "severity": "warning",
      "code": "not-found",
      "details": {
        "text": "A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated"
      },
      "expression": [
        "Bundle.entry[10].resource/*BodyStructure/BodyStructure-BodySiteLocationLungs-Example*/.morphology.coding[0].system"
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
          "valueInteger": 600
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
          "valueInteger": 8
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
          "valueString": "TerminologyEngine"
        }
      ],
      "severity": "warning",
      "code": "not-found",
      "details": {
        "text": "A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated"
      },
      "expression": [
        "Bundle.entry[10].resource/*BodyStructure/BodyStructure-BodySiteLocationLungs-Example*/.location.coding[0].system"
      ]
    }
  ]
}