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Packagegov.cdc.nhsn.dqm
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR4

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Narrative

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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2025-09-15T12:25:21.185-04:00",
  "entry": [
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/ImplementationGuide-gov.cdc.nhsn.dqm",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-gov.cdc.nhsn.dqm",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2755
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING_OLD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide uses package hl7.fhir.us.core#3.1.1 released on 2020-08-28, but the most recent appropriate version is 8.0.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/gov.cdc.nhsn.dqm: ImplementationGuide.dependsOn[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3051
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING_OLD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide uses package hl7.fhir.us.cqfmeasures#3.0.0 released on 2022-04-28, but the most recent appropriate version is 5.0.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/gov.cdc.nhsn.dqm: ImplementationGuide.dependsOn[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING_OLD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide uses package hl7.fhir.us.davinci-deqm#3.1.0 released on 2022-11-21, but the most recent appropriate version is 5.0.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/gov.cdc.nhsn.dqm: ImplementationGuide.dependsOn[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING_OLD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide uses package hl7.fhir.us.qicore#4.1.1 released on 2022-03-31, but the most recent appropriate version is 7.0.1. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/gov.cdc.nhsn.dqm: ImplementationGuide.dependsOn[6]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Bundle-bundle-example-ach-daily-full",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-example-ach-daily-full",
        "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": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Bundle.entry:subject-list': a matching slice is required, but not found (from http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-measurereport-bundle|1.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.cdc.gov/nhsn/OrgID'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[0].resource.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.cdc.gov/nhsn/OrgID'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[0].resource/*Organization/organization-example-submitting-organization*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://nhsnlink.org'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[2].resource.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://nhsnlink.org'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[2].resource/*List/list-example-ach-daily-patients-of-interest*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18
              },
              {
                "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 MeasureReport/measurereport-example-ach-daily-initialpopulationpass among choices: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[3].resource/*MeasureReport/measurereport-example-ach-daily-subjectlist*/.contained.entry[0].item"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18
              },
              {
                "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 MeasureReport/measurereport-example-ach-daily-negativepcr among choices: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[3].resource/*MeasureReport/measurereport-example-ach-daily-subjectlist*/.contained.entry[1].item"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 212
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18
              },
              {
                "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 MeasureReport/measurereport-example-ach-daily-influenzatherapeutic among choices: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[3].resource/*MeasureReport/measurereport-example-ach-daily-subjectlist*/.contained.entry[2].item"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 217
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18
              },
              {
                "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 MeasureReport/measurereport-example-ach-daily-rsvlabbtg among choices: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[3].resource/*MeasureReport/measurereport-example-ach-daily-subjectlist*/.contained.entry[3].item"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 153
              },
              {
                "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": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'MeasureReport.contained:ip-measurereport-list': a matching slice is required, but not found (from http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport|1.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[3].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18
              },
              {
                "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 #list-example-ach-daily-individual-measurereport-list among choices: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ip-measurereport-list"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[3].resource.group[0].population[0].subjectResults"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "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": "MeasureReport.group.measureScore: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0)"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[4].resource/*MeasureReport/measurereport-example-ach-daily-initialpopulationpass*/.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 533
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[5].resource/*Patient/patient-example-ach-daily-initialpopulationpass*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 585
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[6].resource/*Encounter/encounter-example-ach-daily-initialpopulationpass-1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[7].resource/*Encounter/encounter-example-ach-daily-initialpopulationpass-2*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 980
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[11].resource/*MedicationRequest/medicationrequest-example-ach-daily-initialpopulationpass*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1115
              },
              {
                "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": "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/bundle-example-ach-daily-full: Bundle.entry[13].resource/*Observation/lab-observation-example-ach-daily-initialpopulationpass*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[14].resource/*ServiceRequest/servicerequest-example-ach-daily-initialpopulationpass-covid*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "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": "MeasureReport.group.measureScore: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0)"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[16].resource/*MeasureReport/measurereport-example-ach-daily-negativepcr*/.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1637
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[17].resource/*Patient/patient-example-ach-daily-negativepcr*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1689
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[18].resource/*Encounter/encounter-example-ach-daily-negativepcr-1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1789
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[19].resource/*Encounter/encounter-example-ach-daily-negativepcr-2*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2084
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[23].resource/*MedicationRequest/medicationrequest-example-ach-daily-negativepcr*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2167
              },
              {
                "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": "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/bundle-example-ach-daily-full: Bundle.entry[24].resource/*Observation/lab-observation-example-ach-daily-negativepcr-1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2225
              },
              {
                "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": "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/bundle-example-ach-daily-full: Bundle.entry[25].resource/*Observation/lab-observation-example-ach-daily-negativepcr-2*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2304
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[26].resource/*ServiceRequest/servicerequest-example-ach-daily-negativepcr-covid-1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[27].resource/*ServiceRequest/servicerequest-example-ach-daily-negativepcr-covid-2*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2534
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[30].resource/*Procedure/procedure-example-ach-daily-negativepcr-intubation*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "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": "MeasureReport.group.measureScore: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0)"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[31].resource/*MeasureReport/measurereport-example-ach-daily-influenzatherapeutic*/.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2800
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[32].resource/*Patient/patient-example-ach-daily-influenzatherapeutic*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[33].resource/*Encounter/encounter-example-ach-daily-influenzatherapeutic*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[37].resource/*MedicationRequest/medicationrequest-example-ach-daily-influenzatherapeutic*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3478
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "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": "MeasureReport.group.measureScore: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0)"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[39].resource/*MeasureReport/measurereport-example-ach-daily-rsvlabbtg*/.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3595
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[40].resource/*Patient/patient-example-ach-daily-rsvlabbtg*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3679
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[41].resource/*Encounter/encounter-example-ach-daily-rsvlabbtg*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[45].resource/*MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4064
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[47].resource/*MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-2*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4144
              },
              {
                "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": "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/bundle-example-ach-daily-full: Bundle.entry[48].resource/*Observation/lab-observation-example-ach-daily-rsvlabbtg*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4223
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-full: Bundle.entry[49].resource/*ServiceRequest/servicerequest-example-ach-daily-rsvlabbtg-rsv*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1115
              },
              {
                "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": "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/bundle-example-ach-daily-full: Bundle.entry[13].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2167
              },
              {
                "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": "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/bundle-example-ach-daily-full: Bundle.entry[24].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2225
              },
              {
                "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": "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/bundle-example-ach-daily-full: Bundle.entry[25].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4144
              },
              {
                "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": "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/bundle-example-ach-daily-full: Bundle.entry[48].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Bundle-bundle-example-ach-daily-header",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-example-ach-daily-header",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.cdc.gov/nhsn/OrgID'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-header: Bundle.entry[0].resource.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.cdc.gov/nhsn/OrgID'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-header: Bundle.entry[0].resource/*Organization/organization-example-submitting-organization*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://nhsnlink.org'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-header: Bundle.entry[2].resource.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://nhsnlink.org'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-header: Bundle.entry[2].resource/*List/list-example-ach-daily-patients-of-interest*/.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Bundle-bundle-example-ach-daily-subject-influenzatherapeutic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-example-ach-daily-subject-influenzatherapeutic",
        "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": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Bundle.entry:individual-measurereport': a matching slice is required, but not found (from http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-subject-bundle|1.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-influenzatherapeutic: Bundle"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "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": "MeasureReport.group.measureScore: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0)"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-influenzatherapeutic: Bundle.entry[0].resource.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 257
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-influenzatherapeutic: Bundle.entry[1].resource/*Patient/patient-example-ach-daily-influenzatherapeutic*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-influenzatherapeutic: Bundle.entry[2].resource/*Encounter/encounter-example-ach-daily-influenzatherapeutic*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 626
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-influenzatherapeutic: Bundle.entry[6].resource/*MedicationRequest/medicationrequest-example-ach-daily-influenzatherapeutic*/.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Bundle-bundle-example-ach-daily-subject-initialpopulationpass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-example-ach-daily-subject-initialpopulationpass",
        "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": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Bundle.entry:individual-measurereport': a matching slice is required, but not found (from http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-subject-bundle|1.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-initialpopulationpass: Bundle"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "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": "MeasureReport.group.measureScore: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0)"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-initialpopulationpass: Bundle.entry[0].resource.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 317
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-initialpopulationpass: Bundle.entry[1].resource/*Patient/patient-example-ach-daily-initialpopulationpass*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 369
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-initialpopulationpass: Bundle.entry[2].resource/*Encounter/encounter-example-ach-daily-initialpopulationpass-1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 479
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-initialpopulationpass: Bundle.entry[3].resource/*Encounter/encounter-example-ach-daily-initialpopulationpass-2*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 764
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-initialpopulationpass: Bundle.entry[7].resource/*MedicationRequest/medicationrequest-example-ach-daily-initialpopulationpass*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 899
              },
              {
                "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": "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/bundle-example-ach-daily-subject-initialpopulationpass: Bundle.entry[9].resource/*Observation/lab-observation-example-ach-daily-initialpopulationpass*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-initialpopulationpass: Bundle.entry[10].resource/*ServiceRequest/servicerequest-example-ach-daily-initialpopulationpass-covid*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 899
              },
              {
                "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": "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/bundle-example-ach-daily-subject-initialpopulationpass: Bundle.entry[9].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Bundle-bundle-example-ach-daily-subject-negativepcr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-example-ach-daily-subject-negativepcr",
        "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": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Bundle.entry:individual-measurereport': a matching slice is required, but not found (from http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-subject-bundle|1.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-negativepcr: Bundle"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "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": "MeasureReport.group.measureScore: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0)"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-negativepcr: Bundle.entry[0].resource.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-negativepcr: Bundle.entry[1].resource/*Patient/patient-example-ach-daily-negativepcr*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 414
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-negativepcr: Bundle.entry[2].resource/*Encounter/encounter-example-ach-daily-negativepcr-1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-negativepcr: Bundle.entry[3].resource/*Encounter/encounter-example-ach-daily-negativepcr-2*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 809
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-negativepcr: Bundle.entry[7].resource/*MedicationRequest/medicationrequest-example-ach-daily-negativepcr*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 892
              },
              {
                "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": "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/bundle-example-ach-daily-subject-negativepcr: Bundle.entry[8].resource/*Observation/lab-observation-example-ach-daily-negativepcr-1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 950
              },
              {
                "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": "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/bundle-example-ach-daily-subject-negativepcr: Bundle.entry[9].resource/*Observation/lab-observation-example-ach-daily-negativepcr-2*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1029
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-negativepcr: Bundle.entry[10].resource/*ServiceRequest/servicerequest-example-ach-daily-negativepcr-covid-1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-negativepcr: Bundle.entry[11].resource/*ServiceRequest/servicerequest-example-ach-daily-negativepcr-covid-2*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1259
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-negativepcr: Bundle.entry[14].resource/*Procedure/procedure-example-ach-daily-negativepcr-intubation*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 892
              },
              {
                "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": "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/bundle-example-ach-daily-subject-negativepcr: Bundle.entry[8].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 950
              },
              {
                "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": "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/bundle-example-ach-daily-subject-negativepcr: Bundle.entry[9].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Bundle-bundle-example-ach-daily-subject-rsvlabbtg",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-example-ach-daily-subject-rsvlabbtg",
        "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": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Bundle.entry:individual-measurereport': a matching slice is required, but not found (from http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-subject-bundle|1.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-rsvlabbtg: Bundle"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "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": "MeasureReport.group.measureScore: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0)"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-rsvlabbtg: Bundle.entry[0].resource.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 317
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-rsvlabbtg: Bundle.entry[1].resource/*Patient/patient-example-ach-daily-rsvlabbtg*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 401
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-rsvlabbtg: Bundle.entry[2].resource/*Encounter/encounter-example-ach-daily-rsvlabbtg*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 640
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-rsvlabbtg: Bundle.entry[6].resource/*MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-rsvlabbtg: Bundle.entry[8].resource/*MedicationRequest/medicationrequest-example-ach-daily-rsvlabbtg-2*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 866
              },
              {
                "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": "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/bundle-example-ach-daily-subject-rsvlabbtg: Bundle.entry[9].resource/*Observation/lab-observation-example-ach-daily-rsvlabbtg*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-daily-subject-rsvlabbtg: Bundle.entry[10].resource/*ServiceRequest/servicerequest-example-ach-daily-rsvlabbtg-rsv*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 866
              },
              {
                "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": "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/bundle-example-ach-daily-subject-rsvlabbtg: Bundle.entry[9].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Bundle-bundle-example-ach-monthly-header",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-example-ach-monthly-header",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.cdc.gov/nhsn/OrgID'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-header: Bundle.entry[0].resource.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.cdc.gov/nhsn/OrgID'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-header: Bundle.entry[0].resource/*Organization/organization-example-submitting-organization*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://nhsnlink.org'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-header: Bundle.entry[2].resource.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://nhsnlink.org'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-header: Bundle.entry[2].resource/*List/list-example-ach-monthly-patients-of-interest*/.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Bundle-bundle-example-ach-monthly-subject-ach-pass1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-example-ach-monthly-subject-ach-pass1",
        "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": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Bundle.entry:individual-measurereport': a matching slice is required, but not found (from http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-subject-bundle|1.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass1: Bundle"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "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": "MeasureReport.group.measureScore: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0)"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[0].resource.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 407
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[1].resource/*Patient/patient-example-ach-monthly-pass1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 504
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[2].resource/*Encounter/encounter-example-ach-monthly-pass1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 741
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[5].resource/*Device/device-example-ach-monthly-pass1-central-line*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 774
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[6].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass1-vancomycin*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 839
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[7].resource/*MedicationRequest/medicationrequest-example-ach-monthly-pass1-vancomycin*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 920
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[8].resource/*Observation/observation-example-ach-monthly-pass1-blood*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 983
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[9].resource/*Observation/observation-example-ach-monthly-pass1-csf*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1045
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[10].resource/*Observation/observation-example-ach-monthly-pass1-gestational-age*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1096
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[11].resource/*Observation/observation-example-ach-monthly-pass1-vitals-weight*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1158
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[12].resource/*Procedure/procedure-example-ach-monthly-pass1-central-line*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[13].resource/*Procedure/procedure-example-ach-monthly-pass1-lumbar*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1256
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[14].resource/*ServiceRequest/servicerequest-example-ach-monthly-pass1-blood*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1337
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[15].resource/*ServiceRequest/servicerequest-example-ach-monthly-pass1-csf*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1407
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.32'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[16].resource/*Specimen/specimen-example-ach-monthly-pass1-blood*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1414
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 65
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.800'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[16].resource/*Specimen/specimen-example-ach-monthly-pass1-blood*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1460
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.32'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[17].resource/*Specimen/specimen-example-ach-monthly-pass1-csf*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1467
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 65
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.800'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[17].resource/*Specimen/specimen-example-ach-monthly-pass1-csf*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 920
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[8].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 983
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[9].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1045
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[10].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1096
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass1: Bundle.entry[11].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Bundle-bundle-example-ach-monthly-subject-ach-pass2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-example-ach-monthly-subject-ach-pass2",
        "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": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Bundle.entry:individual-measurereport': a matching slice is required, but not found (from http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-subject-bundle|1.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 452
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "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": "MeasureReport.group.measureScore: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0)"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[0].resource.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[1].resource.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[1].resource/*Patient/patient-example-ach-monthly-pass2*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[2].resource/*Encounter/encounter-example-ach-monthly-pass2-emergency*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 789
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[3].resource/*Encounter/encounter-example-ach-monthly-pass2-inpatient*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.example.com/prorpietary' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[3].resource/*Encounter/encounter-example-ach-monthly-pass2-inpatient*/.class.extension[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[7].resource/*Device/device-example-ach-monthly-pass2-compress-hose*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1167
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[9].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass2-dex4*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[10].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1306
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[11].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-2*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1380
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[12].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1451
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[13].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-2*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1522
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[14].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-3*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[15].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-4*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1664
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[16].resource/*MedicationRequest/medicationrequest-example-ach-monthly-pass2-dex4-tablet*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1757
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[17].resource/*MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1849
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[18].resource/*MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1991
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[19].resource/*MedicationRequest/medicationrequest-example-ach-monthly-pass2-metformin*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2076
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[20].resource/*Observation/observation-example-ach-monthly-pass2-aptt*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2135
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[21].resource/*Observation/observation-example-ach-monthly-pass2-poc-1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2191
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[22].resource/*Observation/observation-example-ach-monthly-pass2-poc-2*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2247
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[23].resource/*Observation/observation-example-ach-monthly-pass2-hemo-a1c*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2306
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[24].resource/*Observation/observation-example-ach-monthly-pass2-hemo*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2365
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[25].resource/*Observation/observation-example-ach-monthly-pass2-vitals-weight*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2427
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[26].resource/*Procedure/procedure-example-ach-monthly-pass2-ivcf*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2475
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[27].resource/*ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2557
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[28].resource/*ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2638
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[29].resource/*ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[30].resource/*ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2790
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.32'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[31].resource/*Specimen/specimen-example-ach-monthly-pass2-blood-1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 65
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.800'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[31].resource/*Specimen/specimen-example-ach-monthly-pass2-blood-1*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2842
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.32'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[32].resource/*Specimen/specimen-example-ach-monthly-pass2-blood-2*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2849
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 65
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.800'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[32].resource/*Specimen/specimen-example-ach-monthly-pass2-blood-2*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2076
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[20].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2135
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[21].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2191
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[22].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2247
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[23].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2306
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[24].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2365
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass2: Bundle.entry[25].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Bundle-bundle-example-ach-monthly-subject-ach-pass3",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-example-ach-monthly-subject-ach-pass3",
        "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": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Bundle.entry:individual-measurereport': a matching slice is required, but not found (from http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-subject-bundle|1.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass3: Bundle"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 308
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "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": "MeasureReport.group.measureScore: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0)"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[0].resource.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 459
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[1].resource.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 459
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[1].resource/*Patient/patient-example-ach-monthly-pass3*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 522
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[2].resource/*Encounter/encounter-example-ach-monthly-pass3-acute*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 611
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[3].resource/*Encounter/encounter-example-ach-monthly-pass3-short-stay*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 890
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[7].resource/*Device/device-example-ach-monthly-pass3-ivcs-pump*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[8].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[9].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1062
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[10].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[11].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1192
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[12].resource/*MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1288
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[13].resource/*MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1390
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[14].resource/*MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1472
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[15].resource/*Observation/observation-example-ach-monthly-pass3-cdiff*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1534
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[16].resource/*Observation/observation-example-ach-monthly-pass3-vitals-height*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1585
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[17].resource/*Observation/observation-example-ach-monthly-pass3-vitals-weight*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1647
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[18].resource/*Procedure/procedure-example-ach-monthly-pass3-transfusion*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[19].resource/*ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1765
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.32'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[20].resource/*Specimen/specimen-example-ach-monthly-pass3-stool*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1772
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 65
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.800'"
            },
            "expression": [
              "Bundle/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[20].resource/*Specimen/specimen-example-ach-monthly-pass3-stool*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1472
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[15].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1534
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[16].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1585
              },
              {
                "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": "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/bundle-example-ach-monthly-subject-ach-pass3: Bundle.entry[17].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Bundle-submission-full-example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-submission-full-example1",
        "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": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Bundle.entry:subject-list': a matching slice is required, but not found (from http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-measurereport-bundle|1.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.cdc.gov/nhsn/OrgID'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[0].resource.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.cdc.gov/nhsn/OrgID'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[0].resource/*Organization/organization-example-submitting-organization*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://nhsnlink.org'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[2].resource.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://nhsnlink.org'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[2].resource/*List/list-example-ach-monthly-patients-of-interest*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 206
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18
              },
              {
                "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 MeasureReport/measurereport-example-individual-ach-monthly-pass1 among choices: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[3].resource/*MeasureReport/measurereport-example-ach-monthly-subjectlist1*/.contained.entry[0].item"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18
              },
              {
                "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 MeasureReport/measurereport-example-individual-ach-monthly-pass2 among choices: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[3].resource/*MeasureReport/measurereport-example-ach-monthly-subjectlist1*/.contained.entry[1].item"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 216
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18
              },
              {
                "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 MeasureReport/measurereport-example-individual-ach-monthly-pass3 among choices: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[3].resource/*MeasureReport/measurereport-example-ach-monthly-subjectlist1*/.contained.entry[2].item"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 157
              },
              {
                "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": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'MeasureReport.contained:ip-measurereport-list': a matching slice is required, but not found (from http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport|1.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[3].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 186
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18
              },
              {
                "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 #list-example-ach-monthly-individual-measurereport-list among choices: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ip-measurereport-list"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[3].resource.group[0].population[0].subjectResults"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 487
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "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": "MeasureReport.group.measureScore: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0)"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[4].resource/*MeasureReport/measurereport-example-individual-ach-monthly-pass1*/.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 622
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[5].resource/*Patient/patient-example-ach-monthly-pass1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[6].resource/*Encounter/encounter-example-ach-monthly-pass1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 956
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[9].resource/*Device/device-example-ach-monthly-pass1-central-line*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 956
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[9].resource.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 989
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[10].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass1-vancomycin*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[11].resource/*MedicationRequest/medicationrequest-example-ach-monthly-pass1-vancomycin*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1135
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[12].resource/*Observation/observation-example-ach-monthly-pass1-blood*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1198
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[13].resource/*Observation/observation-example-ach-monthly-pass1-csf*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1260
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[14].resource/*Observation/observation-example-ach-monthly-pass1-gestational-age*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1311
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[15].resource/*Observation/observation-example-ach-monthly-pass1-vitals-weight*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1373
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[16].resource/*Procedure/procedure-example-ach-monthly-pass1-central-line*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1411
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[17].resource/*Procedure/procedure-example-ach-monthly-pass1-lumbar*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1471
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[18].resource/*ServiceRequest/servicerequest-example-ach-monthly-pass1-blood*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[19].resource/*ServiceRequest/servicerequest-example-ach-monthly-pass1-csf*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1622
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.32'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[20].resource/*Specimen/specimen-example-ach-monthly-pass1-blood*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1629
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 65
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.800'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[20].resource/*Specimen/specimen-example-ach-monthly-pass1-blood*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1675
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.32'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[21].resource/*Specimen/specimen-example-ach-monthly-pass1-csf*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1682
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 65
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.800'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[21].resource/*Specimen/specimen-example-ach-monthly-pass1-csf*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "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": "MeasureReport.group.measureScore: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0)"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[22].resource/*MeasureReport/measurereport-example-individual-ach-monthly-pass2*/.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[23].resource/*Patient/patient-example-ach-monthly-pass2*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2384
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[24].resource/*Encounter/encounter-example-ach-monthly-pass2-emergency*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2489
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[25].resource/*Encounter/encounter-example-ach-monthly-pass2-inpatient*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.example.com/prorpietary' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[25].resource/*Encounter/encounter-example-ach-monthly-pass2-inpatient*/.class.extension[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2778
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[29].resource/*Device/device-example-ach-monthly-pass2-compress-hose*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2778
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[29].resource.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2867
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[31].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass2-dex4*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[32].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[33].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-2*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[34].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[35].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-2*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3222
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[36].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-3*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3293
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[37].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-4*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3364
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[38].resource/*MedicationRequest/medicationrequest-example-ach-monthly-pass2-dex4-tablet*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3457
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[39].resource/*MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3549
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[40].resource/*MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3691
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[41].resource/*MedicationRequest/medicationrequest-example-ach-monthly-pass2-metformin*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3776
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[42].resource/*Observation/observation-example-ach-monthly-pass2-aptt*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3835
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[43].resource/*Observation/observation-example-ach-monthly-pass2-poc-1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3891
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[44].resource/*Observation/observation-example-ach-monthly-pass2-poc-2*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3947
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[45].resource/*Observation/observation-example-ach-monthly-pass2-hemo-a1c*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4006
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[46].resource/*Observation/observation-example-ach-monthly-pass2-hemo*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4065
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[47].resource/*Observation/observation-example-ach-monthly-pass2-vitals-weight*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[48].resource/*Procedure/procedure-example-ach-monthly-pass2-ivcf*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4175
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[49].resource/*ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4257
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[50].resource/*ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4338
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[51].resource/*ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4419
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[52].resource/*ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4490
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.32'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[53].resource/*Specimen/specimen-example-ach-monthly-pass2-blood-1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 65
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.800'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[53].resource/*Specimen/specimen-example-ach-monthly-pass2-blood-1*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4542
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.32'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[54].resource/*Specimen/specimen-example-ach-monthly-pass2-blood-2*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4549
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 65
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.800'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[54].resource/*Specimen/specimen-example-ach-monthly-pass2-blood-2*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4874
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "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": "MeasureReport.group.measureScore: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0)"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[55].resource/*MeasureReport/measurereport-example-individual-ach-monthly-pass3*/.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5025
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[56].resource/*Patient/patient-example-ach-monthly-pass3*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5088
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[57].resource/*Encounter/encounter-example-ach-monthly-pass3-acute*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5177
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[58].resource/*Encounter/encounter-example-ach-monthly-pass3-short-stay*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5456
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[62].resource/*Device/device-example-ach-monthly-pass3-ivcs-pump*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5456
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[62].resource.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5489
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[63].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5563
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[64].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5628
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[65].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5693
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[66].resource/*MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5758
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[67].resource/*MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5854
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[68].resource/*MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5956
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[69].resource/*MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6038
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[70].resource/*Observation/observation-example-ach-monthly-pass3-cdiff*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6100
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[71].resource/*Observation/observation-example-ach-monthly-pass3-vitals-height*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6151
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[72].resource/*Observation/observation-example-ach-monthly-pass3-vitals-weight*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[73].resource/*Procedure/procedure-example-ach-monthly-pass3-transfusion*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6261
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[74].resource/*ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6331
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.32'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[75].resource/*Specimen/specimen-example-ach-monthly-pass3-stool*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6338
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 65
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.800'"
            },
            "expression": [
              "Bundle/submission-full-example1: Bundle.entry[75].resource/*Specimen/specimen-example-ach-monthly-pass3-stool*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1135
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[12].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1198
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[13].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1260
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[14].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1311
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[15].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3776
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[42].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3835
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[43].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3891
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[44].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3947
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[45].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4006
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[46].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4065
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[47].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6038
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[70].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6100
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[71].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6151
              },
              {
                "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": "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/submission-full-example1: Bundle.entry[72].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Condition-condition-example-diagnosis-ach-daily-influenzatherapeutic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-example-diagnosis-ach-daily-influenzatherapeutic"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Condition-condition-example-diagnosis-ach-daily-initialpopulationpass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-example-diagnosis-ach-daily-initialpopulationpass"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Condition-condition-example-diagnosis-ach-daily-negativepcr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-example-diagnosis-ach-daily-negativepcr"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Condition-condition-example-diagnosis-ach-daily-rsvlabbtg",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-example-diagnosis-ach-daily-rsvlabbtg"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Condition-condition-example-diagnosis-ach-monthly-pass1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-example-diagnosis-ach-monthly-pass1"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Condition-condition-example-diagnosis-ach-monthly-pass2-problem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-example-diagnosis-ach-monthly-pass2-problem"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Condition-condition-example-diagnosis-ach-monthly-pass2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-example-diagnosis-ach-monthly-pass2"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Condition-condition-example-diagnosis-ach-monthly-pass3-problem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-example-diagnosis-ach-monthly-pass3-problem"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Condition-condition-example-diagnosis-ach-monthly-pass3",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-example-diagnosis-ach-monthly-pass3"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Coverage-coverage-example-ach-daily-influenzatherapeutic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Coverage-coverage-example-ach-daily-influenzatherapeutic"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Coverage-coverage-example-ach-daily-initialpopulationpass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Coverage-coverage-example-ach-daily-initialpopulationpass"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Coverage-coverage-example-ach-daily-negativepcr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Coverage-coverage-example-ach-daily-negativepcr"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Coverage-coverage-example-ach-daily-rsvlabbtg",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Coverage-coverage-example-ach-daily-rsvlabbtg"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Coverage-coverage-example-ach-monthly-pass1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Coverage-coverage-example-ach-monthly-pass1"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Coverage-coverage-example-ach-monthly-pass2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Coverage-coverage-example-ach-monthly-pass2"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Coverage-coverage-example-ach-monthly-pass3",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Coverage-coverage-example-ach-monthly-pass3"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Device-device-example-ach-monthly-pass1-central-line",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Device-device-example-ach-monthly-pass1-central-line",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Device/device-example-ach-monthly-pass1-central-line: Device.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Device-device-example-ach-monthly-pass2-compress-hose",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Device-device-example-ach-monthly-pass2-compress-hose",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Device/device-example-ach-monthly-pass2-compress-hose: Device.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Device-device-example-ach-monthly-pass3-ivcs-pump",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Device-device-example-ach-monthly-pass3-ivcs-pump",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Device/device-example-ach-monthly-pass3-ivcs-pump: Device.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Device-device-example-submitting-device",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Device-device-example-submitting-device"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/DiagnosticReport-diagnosticreport-example-ach-daily-initialpopulationpass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DiagnosticReport-diagnosticreport-example-ach-daily-initialpopulationpass"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/DiagnosticReport-diagnosticreport-example-ach-monthly-pass2-cardiopulmonary",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DiagnosticReport-diagnosticreport-example-ach-monthly-pass2-cardiopulmonary"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/DiagnosticReport-diagnosticreport-example-ach-monthly-pass2-lab-cbc",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DiagnosticReport-diagnosticreport-example-ach-monthly-pass2-lab-cbc"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/DiagnosticReport-diagnosticreport-example-ach-monthly-pass2-radiology",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DiagnosticReport-diagnosticreport-example-ach-monthly-pass2-radiology"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Encounter-encounter-example-ach-daily-influenzatherapeutic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-example-ach-daily-influenzatherapeutic",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Encounter/encounter-example-ach-daily-influenzatherapeutic: Encounter.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Encounter-encounter-example-ach-daily-initialpopulationpass-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-example-ach-daily-initialpopulationpass-1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Encounter/encounter-example-ach-daily-initialpopulationpass-1: Encounter.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Encounter-encounter-example-ach-daily-initialpopulationpass-2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-example-ach-daily-initialpopulationpass-2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Encounter/encounter-example-ach-daily-initialpopulationpass-2: Encounter.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Encounter-encounter-example-ach-daily-negativepcr-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-example-ach-daily-negativepcr-1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Encounter/encounter-example-ach-daily-negativepcr-1: Encounter.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Encounter-encounter-example-ach-daily-negativepcr-2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-example-ach-daily-negativepcr-2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Encounter/encounter-example-ach-daily-negativepcr-2: Encounter.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Encounter-encounter-example-ach-daily-rsvlabbtg",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-example-ach-daily-rsvlabbtg",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Encounter/encounter-example-ach-daily-rsvlabbtg: Encounter.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Encounter-encounter-example-ach-monthly-pass1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-example-ach-monthly-pass1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Encounter/encounter-example-ach-monthly-pass1: Encounter.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Encounter-encounter-example-ach-monthly-pass2-emergency",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-example-ach-monthly-pass2-emergency",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Encounter/encounter-example-ach-monthly-pass2-emergency: Encounter.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Encounter-encounter-example-ach-monthly-pass2-inpatient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-example-ach-monthly-pass2-inpatient",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 18
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Encounter/encounter-example-ach-monthly-pass2-inpatient: Encounter.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 26
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.example.com/prorpietary' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Encounter/encounter-example-ach-monthly-pass2-inpatient: Encounter.class.extension[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Encounter-encounter-example-ach-monthly-pass3-acute",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-example-ach-monthly-pass3-acute",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Encounter/encounter-example-ach-monthly-pass3-acute: Encounter.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Encounter-encounter-example-ach-monthly-pass3-short-stay",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-example-ach-monthly-pass3-short-stay",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Encounter/encounter-example-ach-monthly-pass3-short-stay: Encounter.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Immunization-immunization-example-ach-daily-influenzatherapeutic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Immunization-immunization-example-ach-daily-influenzatherapeutic"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/List-list-example-ach-daily-individual-measurereport-list",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "List-list-example-ach-daily-individual-measurereport-list"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/List-list-example-ach-daily-patients-of-interest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "List-list-example-ach-daily-patients-of-interest",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://nhsnlink.org'"
            },
            "expression": [
              "List/list-example-ach-daily-patients-of-interest: List.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/List-list-example-ach-monthly-individual-measurereport-list",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "List-list-example-ach-monthly-individual-measurereport-list"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/List-list-example-ach-monthly-patients-of-interest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "List-list-example-ach-monthly-patients-of-interest",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 20
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://nhsnlink.org'"
            },
            "expression": [
              "List/list-example-ach-monthly-patients-of-interest: List.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Location-location-example-ach-daily-emergency",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-location-example-ach-daily-emergency",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.6869'"
            },
            "expression": [
              "Location/location-example-ach-daily-emergency: Location.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Location-location-example-ach-daily-hospital",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-location-example-ach-daily-hospital",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.6865'"
            },
            "expression": [
              "Location/location-example-ach-daily-hospital: Location.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Location-location-example-ach-daily-inpatient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-location-example-ach-daily-inpatient"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Location-location-example-ach-monthly-crit-part",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-location-example-ach-monthly-crit-part"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Location-location-example-ach-monthly-crit",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-location-example-ach-monthly-crit"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Location-location-example-ach-monthly-emergency",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-location-example-ach-monthly-emergency"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Location-location-example-ach-monthly-inpatient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-location-example-ach-monthly-inpatient"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Location-location-example-ach-monthly-medsurg",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-location-example-ach-monthly-medsurg"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Location-location-example-ach-monthly-nicu-level-iii",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-location-example-ach-monthly-nicu-level-iii"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MeasureReport-measurereport-example-ach-daily-influenzatherapeutic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MeasureReport-measurereport-example-ach-daily-influenzatherapeutic",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 135
              },
              {
                "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": "MeasureReport.group.measureScore: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0)"
            },
            "expression": [
              "MeasureReport/measurereport-example-ach-daily-influenzatherapeutic: MeasureReport.group[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MeasureReport-measurereport-example-ach-daily-initialpopulationpass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MeasureReport-measurereport-example-ach-daily-initialpopulationpass",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 183
              },
              {
                "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": "MeasureReport.group.measureScore: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0)"
            },
            "expression": [
              "MeasureReport/measurereport-example-ach-daily-initialpopulationpass: MeasureReport.group[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MeasureReport-measurereport-example-ach-daily-negativepcr",
      "resource": {
        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum"
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            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "MeasureReport.group.measureScore: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm|3.1.0)"
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            "expression": [
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        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MeasureReport-measurereport-example-ach-daily-rsvlabbtg",
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        "resourceType": "OperationOutcome",
        "id": "MeasureReport-measurereport-example-ach-daily-rsvlabbtg",
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          {
            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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            "code": "structure",
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        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MeasureReport-measurereport-example-ach-daily-subjectlist",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MeasureReport-measurereport-example-ach-daily-subjectlist"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MeasureReport-measurereport-example-ach-monthly-subjectlist1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MeasureReport-measurereport-example-ach-monthly-subjectlist1"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MeasureReport-measurereport-example-individual-ach-monthly-pass1",
      "resource": {
        "resourceType": "OperationOutcome",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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    },
    {
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      "resource": {
        "resourceType": "OperationOutcome",
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MeasureReport-measurereport-example-individual-ach-monthly-pass3",
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        "resourceType": "OperationOutcome",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Medication-medication-example-ach-daily-influenzatherapeutic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Medication-medication-example-ach-daily-influenzatherapeutic"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Medication-medication-example-ach-daily-initialpopulationpass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Medication-medication-example-ach-daily-initialpopulationpass"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Medication-medication-example-ach-daily-negativepcr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Medication-medication-example-ach-daily-negativepcr"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Medication-medication-example-ach-daily-rsvlabbtg-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Medication-medication-example-ach-daily-rsvlabbtg-1"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Medication-medication-example-ach-daily-rsvlabbtg-2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Medication-medication-example-ach-daily-rsvlabbtg-2"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Medication-medication-example-cipro-500",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Medication-medication-example-cipro-500"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Medication-medication-example-dex4-tablet",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Medication-medication-example-dex4-tablet"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Medication-medication-example-enoxaparin",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Medication-medication-example-enoxaparin"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Medication-medication-example-heparin",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Medication-medication-example-heparin"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Medication-medication-example-insulin-lispro",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Medication-medication-example-insulin-lispro"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Medication-medication-example-metformin-1000",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Medication-medication-example-metformin-1000"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Medication-medication-example-metronidazole",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Medication-medication-example-metronidazole"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Medication-medication-example-vancomycin-15",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Medication-medication-example-vancomycin-15"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MedicationAdministration-medadmin-example-ach-daily-influenzatherapeutic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-medadmin-example-ach-daily-influenzatherapeutic"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MedicationAdministration-medadmin-example-ach-daily-initialpopulationpass-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-medadmin-example-ach-daily-initialpopulationpass-1"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MedicationAdministration-medadmin-example-ach-daily-initialpopulationpass-2",
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        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-medadmin-example-ach-daily-initialpopulationpass-2"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MedicationAdministration-medadmin-example-ach-daily-negativepcr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-medadmin-example-ach-daily-negativepcr"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MedicationAdministration-medadmin-example-ach-daily-rsvlabbtg-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-medadmin-example-ach-daily-rsvlabbtg-1"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MedicationAdministration-medadmin-example-ach-daily-rsvlabbtg-2",
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        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-medadmin-example-ach-daily-rsvlabbtg-2"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MedicationAdministration-medadmin-example-ach-monthly-pass1-vancomycin",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-medadmin-example-ach-monthly-pass1-vancomycin",
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          {
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MedicationAdministration-medadmin-example-ach-monthly-pass2-dex4",
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        "resourceType": "OperationOutcome",
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      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MedicationAdministration-medadmin-example-ach-monthly-pass2-heparin-1",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
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    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-3",
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        "resourceType": "OperationOutcome",
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MedicationAdministration-medadmin-example-ach-monthly-pass2-insulin-lispro-4",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
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      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-1",
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      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MedicationAdministration-medadmin-example-ach-monthly-pass3-metronidazole-2",
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        "resourceType": "OperationOutcome",
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        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MedicationRequest-medicationrequest-example-ach-daily-influenzatherapeutic",
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        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
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            "expression": [
              "MedicationRequest/medicationrequest-example-ach-daily-influenzatherapeutic: MedicationRequest.identifier[0].system"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MedicationRequest-medicationrequest-example-ach-daily-initialpopulationpass",
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        "resourceType": "OperationOutcome",
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
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            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
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            "expression": [
              "MedicationRequest/medicationrequest-example-ach-daily-initialpopulationpass: MedicationRequest.identifier[0].system"
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    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MedicationRequest-medicationrequest-example-ach-daily-negativepcr",
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        "resourceType": "OperationOutcome",
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          {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
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            "expression": [
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    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MedicationRequest-medicationrequest-example-ach-daily-rsvlabbtg-1",
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        "resourceType": "OperationOutcome",
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
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            "expression": [
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        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            "code": "invalid",
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              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
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      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MedicationRequest-medicationrequest-example-ach-monthly-pass1-vancomycin",
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      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/MedicationRequest-medicationrequest-example-ach-monthly-pass2-dex4-tablet",
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        "resourceType": "OperationOutcome",
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              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
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        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
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            "expression": [
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    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Observation-lab-observation-example-ach-daily-initialpopulationpass",
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        "resourceType": "OperationOutcome",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/lab-observation-example-ach-daily-initialpopulationpass: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Observation-lab-observation-example-ach-daily-negativepcr-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-lab-observation-example-ach-daily-negativepcr-1",
        "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/lab-observation-example-ach-daily-negativepcr-1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Observation-lab-observation-example-ach-daily-negativepcr-2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-lab-observation-example-ach-daily-negativepcr-2",
        "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/lab-observation-example-ach-daily-negativepcr-2: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Observation-lab-observation-example-ach-daily-rsvlabbtg",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-lab-observation-example-ach-daily-rsvlabbtg",
        "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/lab-observation-example-ach-daily-rsvlabbtg: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Observation-observation-example-ach-daily-initialpopulationpass-isolation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-example-ach-daily-initialpopulationpass-isolation",
        "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/observation-example-ach-daily-initialpopulationpass-isolation: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Observation-observation-example-ach-monthly-pass1-blood",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-example-ach-monthly-pass1-blood",
        "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/observation-example-ach-monthly-pass1-blood: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Observation-observation-example-ach-monthly-pass1-csf",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-example-ach-monthly-pass1-csf",
        "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/observation-example-ach-monthly-pass1-csf: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Observation-observation-example-ach-monthly-pass1-gestational-age",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-example-ach-monthly-pass1-gestational-age",
        "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/observation-example-ach-monthly-pass1-gestational-age: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Observation-observation-example-ach-monthly-pass1-vitals-weight",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-example-ach-monthly-pass1-vitals-weight",
        "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/observation-example-ach-monthly-pass1-vitals-weight: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Observation-observation-example-ach-monthly-pass2-aptt",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-example-ach-monthly-pass2-aptt",
        "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/observation-example-ach-monthly-pass2-aptt: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Observation-observation-example-ach-monthly-pass2-hemo-a1c",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-example-ach-monthly-pass2-hemo-a1c",
        "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/observation-example-ach-monthly-pass2-hemo-a1c: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Observation-observation-example-ach-monthly-pass2-hemo",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-example-ach-monthly-pass2-hemo",
        "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/observation-example-ach-monthly-pass2-hemo: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Observation-observation-example-ach-monthly-pass2-poc-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-example-ach-monthly-pass2-poc-1",
        "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/observation-example-ach-monthly-pass2-poc-1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Observation-observation-example-ach-monthly-pass2-poc-2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-example-ach-monthly-pass2-poc-2",
        "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/observation-example-ach-monthly-pass2-poc-2: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Observation-observation-example-ach-monthly-pass2-vitals-weight",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-example-ach-monthly-pass2-vitals-weight",
        "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/observation-example-ach-monthly-pass2-vitals-weight: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Observation-observation-example-ach-monthly-pass3-cdiff",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-example-ach-monthly-pass3-cdiff",
        "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/observation-example-ach-monthly-pass3-cdiff: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Observation-observation-example-ach-monthly-pass3-vitals-height",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-example-ach-monthly-pass3-vitals-height",
        "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/observation-example-ach-monthly-pass3-vitals-height: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Observation-observation-example-ach-monthly-pass3-vitals-weight",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-example-ach-monthly-pass3-vitals-weight",
        "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/observation-example-ach-monthly-pass3-vitals-weight: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Organization-organization-example-submitting-organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-organization-example-submitting-organization",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.cdc.gov/nhsn/OrgID'"
            },
            "expression": [
              "Organization/organization-example-submitting-organization: Organization.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Patient-patient-example-ach-daily-influenzatherapeutic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-patient-example-ach-daily-influenzatherapeutic",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Patient/patient-example-ach-daily-influenzatherapeutic: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Patient-patient-example-ach-daily-initialpopulationpass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-patient-example-ach-daily-initialpopulationpass",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Patient/patient-example-ach-daily-initialpopulationpass: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Patient-patient-example-ach-daily-negativepcr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-patient-example-ach-daily-negativepcr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Patient/patient-example-ach-daily-negativepcr: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Patient-patient-example-ach-daily-rsvlabbtg",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-patient-example-ach-daily-rsvlabbtg",
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Patient/patient-example-ach-daily-rsvlabbtg: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Patient-patient-example-ach-monthly-pass1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-patient-example-ach-monthly-pass1",
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Patient/patient-example-ach-monthly-pass1: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Patient-patient-example-ach-monthly-pass2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-patient-example-ach-monthly-pass2",
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Patient/patient-example-ach-monthly-pass2: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Patient-patient-example-ach-monthly-pass3",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-patient-example-ach-monthly-pass3",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 69
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.2.5.8.2.7'"
            },
            "expression": [
              "Patient/patient-example-ach-monthly-pass3: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Procedure-procedure-example-ach-daily-negativepcr-intubation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-example-ach-daily-negativepcr-intubation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Procedure/procedure-example-ach-daily-negativepcr-intubation: Procedure.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Procedure-procedure-example-ach-monthly-pass1-central-line",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-example-ach-monthly-pass1-central-line",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Procedure/procedure-example-ach-monthly-pass1-central-line: Procedure.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Procedure-procedure-example-ach-monthly-pass1-lumbar",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-example-ach-monthly-pass1-lumbar",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Procedure/procedure-example-ach-monthly-pass1-lumbar: Procedure.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Procedure-procedure-example-ach-monthly-pass2-ivcf",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-example-ach-monthly-pass2-ivcf",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Procedure/procedure-example-ach-monthly-pass2-ivcf: Procedure.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Procedure-procedure-example-ach-monthly-pass3-transfusion",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-example-ach-monthly-pass3-transfusion",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.698.8'"
            },
            "expression": [
              "Procedure/procedure-example-ach-monthly-pass3-transfusion: Procedure.identifier[0].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/ServiceRequest-servicerequest-example-ach-daily-initialpopulationpass-covid",
      "resource": {
        "resourceType": "OperationOutcome",
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "ServiceRequest/servicerequest-example-ach-daily-initialpopulationpass-covid: ServiceRequest.identifier[0].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/ServiceRequest-servicerequest-example-ach-daily-negativepcr-covid-1",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 22
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "ServiceRequest/servicerequest-example-ach-daily-negativepcr-covid-1: ServiceRequest.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/ServiceRequest-servicerequest-example-ach-daily-negativepcr-covid-2",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 22
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              {
                "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "ServiceRequest/servicerequest-example-ach-daily-negativepcr-covid-2: ServiceRequest.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/ServiceRequest-servicerequest-example-ach-daily-rsvlabbtg-rsv",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-servicerequest-example-ach-daily-rsvlabbtg-rsv",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 22
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "ServiceRequest/servicerequest-example-ach-daily-rsvlabbtg-rsv: ServiceRequest.identifier[0].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/ServiceRequest-servicerequest-example-ach-monthly-pass1-blood",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-servicerequest-example-ach-monthly-pass1-blood",
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 22
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "ServiceRequest/servicerequest-example-ach-monthly-pass1-blood: ServiceRequest.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/ServiceRequest-servicerequest-example-ach-monthly-pass1-csf",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-servicerequest-example-ach-monthly-pass1-csf",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 22
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "ServiceRequest/servicerequest-example-ach-monthly-pass1-csf: ServiceRequest.identifier[0].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/ServiceRequest-servicerequest-example-ach-monthly-pass2-aptt",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-servicerequest-example-ach-monthly-pass2-aptt",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 22
              },
              {
                "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "ServiceRequest/servicerequest-example-ach-monthly-pass2-aptt: ServiceRequest.identifier[0].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/ServiceRequest-servicerequest-example-ach-monthly-pass2-glucose",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-servicerequest-example-ach-monthly-pass2-glucose",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 22
              },
              {
                "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "ServiceRequest/servicerequest-example-ach-monthly-pass2-glucose: ServiceRequest.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/ServiceRequest-servicerequest-example-ach-monthly-pass2-hemo-a1c",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-servicerequest-example-ach-monthly-pass2-hemo-a1c",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 22
              },
              {
                "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo-a1c: ServiceRequest.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/ServiceRequest-servicerequest-example-ach-monthly-pass2-hemo",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-servicerequest-example-ach-monthly-pass2-hemo",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 22
              },
              {
                "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "ServiceRequest/servicerequest-example-ach-monthly-pass2-hemo: ServiceRequest.identifier[0].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/ServiceRequest-servicerequest-example-ach-monthly-pass3-cdiff",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-servicerequest-example-ach-monthly-pass3-cdiff",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 22
              },
              {
                "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798'"
            },
            "expression": [
              "ServiceRequest/servicerequest-example-ach-monthly-pass3-cdiff: ServiceRequest.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Specimen-specimen-example-ach-daily-initialpopulationpass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Specimen-specimen-example-ach-daily-initialpopulationpass"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Specimen-specimen-example-ach-daily-negativepcr-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Specimen-specimen-example-ach-daily-negativepcr-1"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Specimen-specimen-example-ach-daily-negativepcr-2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Specimen-specimen-example-ach-daily-negativepcr-2"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Specimen-specimen-example-ach-daily-rsvlabbtg",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Specimen-specimen-example-ach-daily-rsvlabbtg"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Specimen-specimen-example-ach-monthly-pass1-blood",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Specimen-specimen-example-ach-monthly-pass1-blood",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.32'"
            },
            "expression": [
              "Specimen/specimen-example-ach-monthly-pass1-blood: Specimen.identifier[0].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 18
              },
              {
                "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"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.800'"
            },
            "expression": [
              "Specimen/specimen-example-ach-monthly-pass1-blood: Specimen.identifier[1].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Specimen-specimen-example-ach-monthly-pass1-csf",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Specimen-specimen-example-ach-monthly-pass1-csf",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.32'"
            },
            "expression": [
              "Specimen/specimen-example-ach-monthly-pass1-csf: Specimen.identifier[0].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 18
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.800'"
            },
            "expression": [
              "Specimen/specimen-example-ach-monthly-pass1-csf: Specimen.identifier[1].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Specimen-specimen-example-ach-monthly-pass2-blood-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Specimen-specimen-example-ach-monthly-pass2-blood-1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.32'"
            },
            "expression": [
              "Specimen/specimen-example-ach-monthly-pass2-blood-1: Specimen.identifier[0].system"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.800'"
            },
            "expression": [
              "Specimen/specimen-example-ach-monthly-pass2-blood-1: Specimen.identifier[1].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Specimen-specimen-example-ach-monthly-pass2-blood-2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Specimen-specimen-example-ach-monthly-pass2-blood-2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.32'"
            },
            "expression": [
              "Specimen/specimen-example-ach-monthly-pass2-blood-2: Specimen.identifier[0].system"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.800'"
            },
            "expression": [
              "Specimen/specimen-example-ach-monthly-pass2-blood-2: Specimen.identifier[1].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Specimen-specimen-example-ach-monthly-pass3-stool",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Specimen-specimen-example-ach-monthly-pass3-stool",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.32'"
            },
            "expression": [
              "Specimen/specimen-example-ach-monthly-pass3-stool: Specimen.identifier[0].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 18
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 59
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.1.798.800'"
            },
            "expression": [
              "Specimen/specimen-example-ach-monthly-pass3-stool: Specimen.identifier[1].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-daily-diagnosticreport-lab",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-daily-diagnosticreport-lab"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-daily-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-daily-encounter"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-daily-location",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-daily-location"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-daily-medication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-daily-medication"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-daily-medicationadministration",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-daily-medicationadministration"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-daily-medicationrequest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-daily-medicationrequest"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-daily-observation-lab",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-daily-observation-lab"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-daily-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-daily-observation"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-daily-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-daily-procedure"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-daily-servicerequest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-daily-servicerequest"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-daily-specimen",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-daily-specimen"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-monthly-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-monthly-condition"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-monthly-coverage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-monthly-coverage"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-monthly-device",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-monthly-device"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-monthly-diagnosticreport-lab",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-monthly-diagnosticreport-lab"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-monthly-diagnosticreport-note",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-monthly-diagnosticreport-note"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-monthly-diagnosticreport",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-monthly-diagnosticreport"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-monthly-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-monthly-encounter"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-monthly-location",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-monthly-location"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-monthly-medication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-monthly-medication"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-monthly-medicationadministration",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-monthly-medicationadministration"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-monthly-medicationrequest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-monthly-medicationrequest"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-monthly-observation-lab",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-monthly-observation-lab"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-monthly-observation-vitals",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-monthly-observation-vitals"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-monthly-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-monthly-observation"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-monthly-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-monthly-procedure"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-monthly-servicerequest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-monthly-servicerequest"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ach-monthly-specimen",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ach-monthly-specimen"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-cross-measure-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-cross-measure-patient"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-ip-measurereport-list",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ip-measurereport-list"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-link-original-element-value-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-link-original-element-value-extension",
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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 link-original-element-value-extension: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/link-original-element-value-extension: StructureDefinition.context[0]"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-link-original-mapped-concept-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-link-original-mapped-concept-extension",
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                "valueString": "InstanceValidator"
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              {
                "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 link-original-mapped-concept-extension: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/link-original-mapped-concept-extension: StructureDefinition.context[0]"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-link-original-resource-id-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-link-original-resource-id-extension"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-link-patient-list-applicable-period-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-link-patient-list-applicable-period-extension"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-link-received-date-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-link-received-date-extension"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-nhsn-measurereport-bundle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-nhsn-measurereport-bundle"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-nhsn-subject-bundle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-nhsn-subject-bundle"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-nhsn-submission-header-bundle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-nhsn-submission-header-bundle"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-nhsn-submitting-device",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-nhsn-submitting-device"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-nhsn-submitting-organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-nhsn-submitting-organization"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-poi-list",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-poi-list"
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-subjectlist-measurereport",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-subjectlist-measurereport"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/ValueSet-ach-daily-diagnostic-report-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ach-daily-diagnostic-report-status"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/ValueSet-ach-daily-encounter-class",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ach-daily-encounter-class"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/ValueSet-ach-daily-encounter-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ach-daily-encounter-status"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/ValueSet-ach-monthly-encounter-class",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ach-monthly-encounter-class"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/ValueSet-ach-monthly-encounter-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ach-monthly-encounter-status"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Device-cqf-tooling",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Device-cqf-tooling"
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/StructureDefinition-extension-MeasureReport.supplementalDataElement.reference",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-extension-MeasureReport.supplementalDataElement.reference",
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              {
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            ],
            "severity": "warning",
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            },
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          },
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
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      }
    },
    {
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      "resource": {
        "resourceType": "OperationOutcome",
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            ],
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            "code": "business-rule",
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            "expression": [
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    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Library-FHIRHelpers",
      "resource": {
        "resourceType": "OperationOutcome",
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    {
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        "resourceType": "OperationOutcome",
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            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
            },
            "expression": [
              "Measure/NHSNAcuteCareHospitalDailyInitialPopulation: Measure.group[0].population[0].criteria"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.cdc.gov/nhsn/fhirportal/dqm/ig/OperationOutcome/Measure-NHSNAcuteCareHospitalMonthlyInitialPopulation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Measure-NHSNAcuteCareHospitalMonthlyInitialPopulation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 0
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 0
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_DUPLICATE_IDS"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The XHTML  the resource contains more than one node for each of the following node ids and anchor names: fhirhelpers-tostring (2x)"
            },
            "expression": [
              "Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation: Measure.text.div"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://nhsnlink.org'"
            },
            "expression": [
              "Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation: Measure.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 89232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.cdc.gov/nhsn/index.html'"
            },
            "expression": [
              "Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation: Measure.relatedArtifact[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 91091
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm#cqm-4"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cqm-4: 'Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.' (defined in http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm)"
            },
            "expression": [
              "Measure/NHSNAcuteCareHospitalMonthlyInitialPopulation: Measure.group[0].population[0].criteria"
            ]
          }
        ]
      }
    }
  ]
}