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Packagehl7.cda.examples
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR5

Resources that use this resource

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Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2025-10-02T02:59:27.953+00:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/ImplementationGuide-hl7.cda.examples",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.cda.examples",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 62328
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Binary/general-parent-document-replace-relationship'"
            },
            "expression": [
              "ImplementationGuide/hl7.cda.examples: ImplementationGuide.definition.resource[33].reference"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 68059
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Binary/header-direct-address'"
            },
            "expression": [
              "ImplementationGuide/hl7.cda.examples: ImplementationGuide.definition.resource[38].reference"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77173
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_MARKDOWN_HTML"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The markdown contains content that appears to be an embedded HTML tag starting at '<g'. This will (or SHOULD) be escaped by the presentation layer. The content should be checked to confirm that this is the desired behaviour"
            },
            "expression": [
              "ImplementationGuide/hl7.cda.examples: ImplementationGuide.definition.resource[47].description"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 176188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Binary/referrals-close-referral-with-a-document'"
            },
            "expression": [
              "ImplementationGuide/hl7.cda.examples: ImplementationGuide.definition.resource[102].reference"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 179294
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/cda/us/ccda/StructureDefinition/PatientReferralAct|3.0.0'"
            },
            "expression": [
              "ImplementationGuide/hl7.cda.examples: ImplementationGuide.definition.resource[103].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 180082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/hl7.cda.examples/StructureDefinition/ExampleApprovalStatus#approved-date"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: approved-date: 'If the status is approved, then the sdwgApprovalDate and taskForceApprovalDate must be present' (defined in http://hl7.org/cda/hl7.cda.examples/StructureDefinition/ExampleApprovalStatus)"
            },
            "expression": [
              "ImplementationGuide/hl7.cda.examples: ImplementationGuide.definition.resource[104].extension[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 209700
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/hl7.cda.examples/StructureDefinition/ExampleApprovalStatus#approved-date"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: approved-date: 'If the status is approved, then the sdwgApprovalDate and taskForceApprovalDate must be present' (defined in http://hl7.org/cda/hl7.cda.examples/StructureDefinition/ExampleApprovalStatus)"
            },
            "expression": [
              "ImplementationGuide/hl7.cda.examples: ImplementationGuide.definition.resource[120].extension[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 215299
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/cda/us/ccda/StructureDefinition/PregnancyObservation|3.0.0'"
            },
            "expression": [
              "ImplementationGuide/hl7.cda.examples: ImplementationGuide.definition.resource[123].extension[3].value.ofType(canonical)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 215933
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/cda/us/ccda/StructureDefinition/PregnancyObservation|3.0.0'"
            },
            "expression": [
              "ImplementationGuide/hl7.cda.examples: ImplementationGuide.definition.resource[123].profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 220211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/cda/us/ccda/StructureDefinition/PregnancyObservation|3.0.0'"
            },
            "expression": [
              "ImplementationGuide/hl7.cda.examples: ImplementationGuide.definition.resource[126].extension[3].value.ofType(canonical)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 220855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/cda/us/ccda/StructureDefinition/PregnancyObservation|3.0.0'"
            },
            "expression": [
              "ImplementationGuide/hl7.cda.examples: ImplementationGuide.definition.resource[126].profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 223583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Binary/unstructured-cda-reference-pdf'"
            },
            "expression": [
              "ImplementationGuide/hl7.cda.examples: ImplementationGuide.definition.resource[128].reference"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 224927
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Binary/unstructured-cda-with-embedded-pdf-1'"
            },
            "expression": [
              "ImplementationGuide/hl7.cda.examples: ImplementationGuide.definition.resource[129].reference"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 226401
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Binary/unstructured-cda-with-embedded-pdf-2'"
            },
            "expression": [
              "ImplementationGuide/hl7.cda.examples: ImplementationGuide.definition.resource[130].reference"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 227666
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Binary/unstructured-cda-with-embedded-text-plain'"
            },
            "expression": [
              "ImplementationGuide/hl7.cda.examples: ImplementationGuide.definition.resource[131].reference"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/CodeSystem-ApprovalStatusCodeSystem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ApprovalStatusCodeSystem"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/StructureDefinition-ExampleApprovalStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ExampleApprovalStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39502
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "FHIRPATH_COLLECTION_STATUS_OPERATION_LEFT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "approved-date: The left side is inherently a collection, and so the expression 'extension('status').value = 'approved'' may fail or return false if there is more than one item in the content being evaluated"
            },
            "expression": [
              "StructureDefinition/ExampleApprovalStatus: StructureDefinition.snapshot.element[0].constraint[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/ValueSet-ApprovalStatusValueSet",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ApprovalStatusValueSet"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-general-parent-document-replace-relationship",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-general-parent-document-replace-relationship",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 59
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-proficiencyLevelCode"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-proficiencyLevelCode: 'SHOULD contain proficiencyLevelCode' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.recordTarget[0].patientRole.patient.languageCommunication[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 70
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.recordTarget[0].patientRole.providerOrganization.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 86
              },
              {
                "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": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 82
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime#ts-should-minute"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: ts-should-minute: '**SHOULD** be precise to at least the minute' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.author[0].time"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.author[0].assignedAuthor.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 108
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.dataEnterer.assignedEntity.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 128
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.informant[0].assignedEntity.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 148
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 95
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.1.11.19563' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.informant[1].relatedEntity.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 191
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime#ts-should-minute"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: ts-should-minute: '**SHOULD** be precise to at least the minute' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.legalAuthenticator.time"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 195
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.legalAuthenticator.assignedEntity.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime#ts-should-minute"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: ts-should-minute: '**SHOULD** be precise to at least the minute' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.authenticator[0].time"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 218
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.authenticator[0].assignedEntity.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 240
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.1.11.19563' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.participant[0].associatedEntity.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 95
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.1.11.19563' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.participant[1].associatedEntity.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 304
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.documentationOf[0].serviceEvent.performer[0].assignedEntity.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.documentationOf[0].serviceEvent.performer[1].assignedEntity.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 69
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-npi"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-npi: 'SHOULD be NPI' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.documentationOf[0].serviceEvent.performer[1].assignedEntity.id[0].root"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 384
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-responsibleParty"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-responsibleParty: 'SHOULD contain responsibleParty' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.componentOf.encompassingEncounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 427
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SubstanceOrDeviceAllergyIntoleranceObservation#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SubstanceOrDeviceAllergyIntoleranceObservation)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[0].section.entry[0].act.entryRelationship[0].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 427
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SubstanceOrDeviceAllergyIntoleranceObservation#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SubstanceOrDeviceAllergyIntoleranceObservation)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[0].section.entry[0].act.entryRelationship[0].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 411
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/AllergyConcernAct#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/AllergyConcernAct)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[0].section.entry[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 411
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/AllergyConcernAct#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/AllergyConcernAct)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[0].section.entry[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 471
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'SubstanceAdministration.effectiveTime:duration': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[1].section.entry[0].substanceAdministration"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 471
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[1].section.entry[0].substanceAdministration"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 471
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity#1098-7513"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: 1098-7513: 'SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type=\"PIVL_TS\" or \"EIVL_TS\" (CONF:1098-28499).' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[1].section.entry[0].substanceAdministration"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 471
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity#should-routeCode"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-routeCode: 'SHOULD contain routeCode' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[1].section.entry[0].substanceAdministration"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 471
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[1].section.entry[0].substanceAdministration"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'SubstanceAdministration.effectiveTime:duration': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[2].section.entry[0].substanceAdministration"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[2].section.entry[0].substanceAdministration"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity#1098-7513"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: 1098-7513: 'SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type=\"PIVL_TS\" or \"EIVL_TS\" (CONF:1098-28499).' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[2].section.entry[0].substanceAdministration"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity#should-routeCode"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-routeCode: 'SHOULD contain routeCode' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[2].section.entry[0].substanceAdministration"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[2].section.entry[0].substanceAdministration"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 502
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/AdmissionMedicationsSectionEntriesOptional#should-admission-medication"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-admission-medication: 'SHOULD contain Admission Medication' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/AdmissionMedicationsSectionEntriesOptional)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[2].section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[4].section.entry[0].act.entryRelationship[0].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 571
              },
              {
                "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": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Act.entryRelationship:problem': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[4].section.entry[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 571
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[4].section.entry[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 678
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure#should-otext-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-otext-ref-value: 'SHOULD contain originalText/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[7].section.entry[0].procedure.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 683
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure#should-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-value: 'SHOULD contain value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[7].section.entry[0].procedure.effectiveTime"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 671
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 75
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure#should-targetSiteCode"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-targetSiteCode: 'SHOULD contain targetSiteCode' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[7].section.entry[0].procedure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 671
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 75
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure#should-performer"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-performer: 'SHOULD contain performer' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[7].section.entry[0].procedure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 671
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 75
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[7].section.entry[0].procedure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 660
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection#should-non-med-supply"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-non-med-supply: 'SHOULD contain Non-Medicinal Supply Activity' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[7].section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 725
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationMedicationInformation#should-manufacturerOrganization"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-manufacturerOrganization: 'SHOULD contain manufacturerOrganization' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationMedicationInformation)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[8].section.entry[0].substanceAdministration.consumable.manufacturedProduct"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 723
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity#should-translation"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-translation: 'SHOULD contain translation' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[8].section.entry[0].substanceAdministration.routeCode"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[8].section.entry[0].substanceAdministration"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity#should-doseQuantity"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-doseQuantity: 'SHOULD contain doseQuantity' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[8].section.entry[0].substanceAdministration"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity#should-performer"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-performer: 'SHOULD contain performer' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[8].section.entry[0].substanceAdministration"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[8].section.entry[0].substanceAdministration"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 792
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatusMeaningfulUse#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatusMeaningfulUse)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[10].section.entry[0].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 792
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatusMeaningfulUse#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatusMeaningfulUse)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[10].section.entry[0].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 762
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection#should-smoking-status"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-smoking-status: 'SHOULD contain Smoking Status' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[10].section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 921
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 68
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[15].section.entry[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 911
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection#should-health-status-obs"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-health-status-obs: 'SHOULD contain Health Status Observation' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[15].section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1007
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ActivitiesSection#should-intervention-act"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-intervention-act: 'SHOULD contain Intervention Act' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ActivitiesSection)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[19].section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1007
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ActivitiesSection#should-planned-intervention-act"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-planned-intervention-act: 'SHOULD contain Planned Intervention Act' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ActivitiesSection)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody.component[19].section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 157
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-relatedParticipant"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-relatedParticipant: 'Documents SHOULD contain a RelatedPerson participant' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 339
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ContinuityofCareDocumentCCD#1198-32466"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: 1198-32466: 'If this assignedEntity is an assignedPerson, the assignedEntity/id SHOULD contain zero or one [0..1] @root=\"2.16.840.1.113883.4.6\" National Provider Identifier (CONF:1198-32466).' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ContinuityofCareDocumentCCD)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.documentationOf[0].serviceEvent.performer[1].assignedEntity"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 395
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ContinuityofCareDocumentCCD#should-section-procedures"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-section-procedures: 'SHOULD contain a Procedures Section' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ContinuityofCareDocumentCCD)"
            },
            "expression": [
              "Binary/general-parent-document-replace-relationship: ClinicalDocument.component.structuredBody"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-header-direct-address",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-header-direct-address",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/header-direct-address: ClinicalDocument.recordTarget[0].patientRole.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 66
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/header-direct-address: ClinicalDocument.recordTarget[0].patientRole.telecom[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 67
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 60
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/header-direct-address: ClinicalDocument.recordTarget[0].patientRole.telecom[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 81
              },
              {
                "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 'urn:oid:2.16.840.1.113883.6.238' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Binary/header-direct-address: ClinicalDocument.recordTarget[0].patientRole.patient.raceCode.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 81
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 105
              },
              {
                "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 'urn:oid:2.16.840.1.113883.6.238' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Binary/header-direct-address: ClinicalDocument.recordTarget[0].patientRole.patient.ethnicGroupCode.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 82
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-proficiencyLevelCode"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-proficiencyLevelCode: 'SHOULD contain proficiencyLevelCode' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/header-direct-address: ClinicalDocument.recordTarget[0].patientRole.patient.languageCommunication[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 94
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-npi"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-npi: 'SHOULD be NPI' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/header-direct-address: ClinicalDocument.recordTarget[0].patientRole.providerOrganization.id[1].root"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 97
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-npi"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-npi: 'SHOULD be NPI' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/header-direct-address: ClinicalDocument.recordTarget[0].patientRole.providerOrganization.id[2].root"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 101
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/header-direct-address: ClinicalDocument.recordTarget[0].patientRole.providerOrganization.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 113
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-id-npi"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-id-npi: 'SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI)' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/header-direct-address: ClinicalDocument.author[0].assignedAuthor"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 113
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-us-code"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-us-code: 'SHOULD contain code' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/header-direct-address: ClinicalDocument.author[0].assignedAuthor"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-legalAuthenticator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-legalAuthenticator: 'SHOULD contain legalAuthenticator' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/header-direct-address: ClinicalDocument"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-relatedParticipant"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-relatedParticipant: 'Documents SHOULD contain a RelatedPerson participant' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/header-direct-address: ClinicalDocument"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-referrals-close-referral-with-a-document",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-referrals-close-referral-with-a-document",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-us-languageCommunication"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-us-languageCommunication: 'SHOULD contain languageCommunication' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/referrals-close-referral-with-a-document: ClinicalDocument.recordTarget[0].patientRole.patient"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 67
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85
              },
              {
                "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 'urn:oid:2.16.840.1.113883.6.238' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Binary/referrals-close-referral-with-a-document: ClinicalDocument.recordTarget[0].patientRole.patient.raceCode.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 70
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 126
              },
              {
                "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 'urn:oid:2.16.840.1.113883.6.238' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Binary/referrals-close-referral-with-a-document: ClinicalDocument.recordTarget[0].patientRole.patient.sdtcRaceCode[0].coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 72
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 109
              },
              {
                "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 'urn:oid:2.16.840.1.113883.6.238' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Binary/referrals-close-referral-with-a-document: ClinicalDocument.recordTarget[0].patientRole.patient.ethnicGroupCode.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 124
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/referrals-close-referral-with-a-document: ClinicalDocument.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 218
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/referrals-close-referral-with-a-document: ClinicalDocument.authenticator[0].assignedEntity.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 248
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-responsibleParty"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-responsibleParty: 'SHOULD contain responsibleParty' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/referrals-close-referral-with-a-document: ClinicalDocument.componentOf.encompassingEncounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ConsultationNote#should-section-medications"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-section-medications: 'SHOULD contain a Medications Section' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ConsultationNote)"
            },
            "expression": [
              "Binary/referrals-close-referral-with-a-document: ClinicalDocument.component.structuredBody"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ConsultationNote#should-section-physical-exam"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-section-physical-exam: 'SHOULD contain a Physical Exam Section' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ConsultationNote)"
            },
            "expression": [
              "Binary/referrals-close-referral-with-a-document: ClinicalDocument.component.structuredBody"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ConsultationNote#should-section-results"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-section-results: 'SHOULD contain a Results Section' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ConsultationNote)"
            },
            "expression": [
              "Binary/referrals-close-referral-with-a-document: ClinicalDocument.component.structuredBody"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 157
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-legalAuthenticator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-legalAuthenticator: 'SHOULD contain legalAuthenticator' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/referrals-close-referral-with-a-document: ClinicalDocument"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 157
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-relatedParticipant"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-relatedParticipant: 'Documents SHOULD contain a RelatedPerson participant' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/referrals-close-referral-with-a-document: ClinicalDocument"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 157
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ConsultationNote#should-sdtcCategory"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-sdtcCategory: 'SHOULD contain sdtcCategory' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ConsultationNote)"
            },
            "expression": [
              "Binary/referrals-close-referral-with-a-document: ClinicalDocument"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 157
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ConsultationNote#should-participant-callback"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-participant-callback: 'SHOULD contain zero or more [0..*] participant such that it SHALL contain exactly one [1..1] @typeCode=\"CALLBCK\" call back contact (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 DYNAMIC)' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ConsultationNote)"
            },
            "expression": [
              "Binary/referrals-close-referral-with-a-document: ClinicalDocument"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-unstructured-cda-reference-pdf",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-unstructured-cda-reference-pdf",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 60
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 119
              },
              {
                "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 'urn:oid:2.16.840.1.113883.6.238' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Binary/unstructured-cda-reference-pdf: ClinicalDocument.recordTarget[0].patientRole.patient.raceCode.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 61
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 140
              },
              {
                "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 'urn:oid:2.16.840.1.113883.6.238' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Binary/unstructured-cda-reference-pdf: ClinicalDocument.recordTarget[0].patientRole.patient.sdtcRaceCode[0].coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 109
              },
              {
                "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 'urn:oid:2.16.840.1.113883.6.238' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Binary/unstructured-cda-reference-pdf: ClinicalDocument.recordTarget[0].patientRole.patient.ethnicGroupCode.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 93
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-proficiencyLevelCode"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-proficiencyLevelCode: 'SHOULD contain proficiencyLevelCode' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/unstructured-cda-reference-pdf: ClinicalDocument.recordTarget[0].patientRole.patient.languageCommunication[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 54
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-npi"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-npi: 'SHOULD be NPI' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/unstructured-cda-reference-pdf: ClinicalDocument.recordTarget[0].patientRole.providerOrganization.id[0].root"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 103
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/unstructured-cda-reference-pdf: ClinicalDocument.recordTarget[0].patientRole.providerOrganization.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 117
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/unstructured-cda-reference-pdf: ClinicalDocument.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/unstructured-cda-reference-pdf: ClinicalDocument.author[0].assignedAuthor.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/unstructured-cda-reference-pdf: ClinicalDocument.dataEnterer.assignedEntity.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 156
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/unstructured-cda-reference-pdf: ClinicalDocument.informant[0].assignedEntity.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 176
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 95
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.1.11.19563' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/unstructured-cda-reference-pdf: ClinicalDocument.informant[1].relatedEntity.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 219
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/unstructured-cda-reference-pdf: ClinicalDocument.legalAuthenticator.assignedEntity.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 240
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/unstructured-cda-reference-pdf: ClinicalDocument.authenticator[0].assignedEntity.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43
              },
              {
                "url": "http://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 'UD_sample.pdf'"
            },
            "expression": [
              "Binary/unstructured-cda-reference-pdf: ClinicalDocument.component.nonXMLBody.text.reference.value"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 153
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-relatedParticipant"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-relatedParticipant: 'Documents SHOULD contain a RelatedPerson participant' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/unstructured-cda-reference-pdf: ClinicalDocument"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-unstructured-cda-with-embedded-pdf-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-unstructured-cda-with-embedded-pdf-1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 47
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 131
              },
              {
                "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 'urn:oid:2.16.840.1.113883.6.238' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-pdf-1: ClinicalDocument.recordTarget[0].patientRole.patient.raceCode.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 49
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 109
              },
              {
                "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 'urn:oid:2.16.840.1.113883.6.238' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-pdf-1: ClinicalDocument.recordTarget[0].patientRole.patient.ethnicGroupCode.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 50
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-proficiencyLevelCode"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-proficiencyLevelCode: 'SHOULD contain proficiencyLevelCode' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-pdf-1: ClinicalDocument.recordTarget[0].patientRole.patient.languageCommunication[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 54
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-npi"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-npi: 'SHOULD be NPI' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-pdf-1: ClinicalDocument.recordTarget[0].patientRole.providerOrganization.id[0].root"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 60
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-pdf-1: ClinicalDocument.recordTarget[0].patientRole.providerOrganization.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-pdf-1: ClinicalDocument.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 75
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-pdf-1: ClinicalDocument.author[0].assignedAuthor.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 94
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-pdf-1: ClinicalDocument.dataEnterer.assignedEntity.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 113
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-pdf-1: ClinicalDocument.informant[0].assignedEntity.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 95
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.1.11.19563' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-pdf-1: ClinicalDocument.informant[1].relatedEntity.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 153
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-legalAuthenticator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-legalAuthenticator: 'SHOULD contain legalAuthenticator' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-pdf-1: ClinicalDocument"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 153
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-relatedParticipant"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-relatedParticipant: 'Documents SHOULD contain a RelatedPerson participant' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-pdf-1: ClinicalDocument"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-unstructured-cda-with-embedded-pdf-2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-unstructured-cda-with-embedded-pdf-2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 41
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-pdf-2: ClinicalDocument.recordTarget[0].patientRole.telecom[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 50
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 95
              },
              {
                "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 'urn:oid:2.16.840.1.113883.6.238' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-pdf-2: ClinicalDocument.recordTarget[0].patientRole.patient.raceCode.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 52
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 119
              },
              {
                "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 'urn:oid:2.16.840.1.113883.6.238' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-pdf-2: ClinicalDocument.recordTarget[0].patientRole.patient.ethnicGroupCode.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 53
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-preferenceInd"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-preferenceInd: 'SHOULD contain preferenceInd' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-pdf-2: ClinicalDocument.recordTarget[0].patientRole.patient.languageCommunication[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 84
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-us-code"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-us-code: 'SHOULD contain code' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-pdf-2: ClinicalDocument.author[1].assignedAuthor"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 153
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-legalAuthenticator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-legalAuthenticator: 'SHOULD contain legalAuthenticator' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-pdf-2: ClinicalDocument"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 153
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-relatedParticipant"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-relatedParticipant: 'Documents SHOULD contain a RelatedPerson participant' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-pdf-2: ClinicalDocument"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-unstructured-cda-with-embedded-text-plain",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-unstructured-cda-with-embedded-text-plain",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 112
              },
              {
                "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 'urn:oid:2.16.840.1.113883.6.238' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-text-plain: ClinicalDocument.recordTarget[0].patientRole.patient.raceCode.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 109
              },
              {
                "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 'urn:oid:2.16.840.1.113883.6.238' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-text-plain: ClinicalDocument.recordTarget[0].patientRole.patient.ethnicGroupCode.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-proficiencyLevelCode"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-proficiencyLevelCode: 'SHOULD contain proficiencyLevelCode' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-text-plain: ClinicalDocument.recordTarget[0].patientRole.patient.languageCommunication[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 52
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 54
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-npi"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-npi: 'SHOULD be NPI' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-text-plain: ClinicalDocument.recordTarget[0].patientRole.providerOrganization.id[0].root"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 55
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-text-plain: ClinicalDocument.recordTarget[0].patientRole.providerOrganization.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 69
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-text-plain: ClinicalDocument.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 70
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress#should-use"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-use: 'SHOULD contain @use' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-text-plain: ClinicalDocument.author[0].assignedAuthor.addr[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 153
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-legalAuthenticator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-legalAuthenticator: 'SHOULD contain legalAuthenticator' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-text-plain: ClinicalDocument"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 153
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader#should-relatedParticipant"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-relatedParticipant: 'Documents SHOULD contain a RelatedPerson participant' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader)"
            },
            "expression": [
              "Binary/unstructured-cda-with-embedded-text-plain: ClinicalDocument"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-allergies-allergy-to-food-egg",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-allergies-allergy-to-food-egg",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 50
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/allergies-allergy-to-food-egg: section.entry[0].act.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 88
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/allergies-allergy-to-food-egg: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 50
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/allergies-allergy-to-food-egg: section.entry[0].act.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 88
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/allergies-allergy-to-food-egg: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-allergies-allergy-to-latex",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-allergies-allergy-to-latex",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 50
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/allergies-allergy-to-latex: section.entry[0].act.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 89
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/allergies-allergy-to-latex: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 50
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/allergies-allergy-to-latex: section.entry[0].act.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 89
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/allergies-allergy-to-latex: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-allergies-allergy-to-specific-drug-codeine",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-allergies-allergy-to-specific-drug-codeine",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 96
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/allergies-allergy-to-specific-drug-codeine: section.entry[0].act.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/allergies-allergy-to-specific-drug-codeine: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 96
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/allergies-allergy-to-specific-drug-codeine: section.entry[0].act.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
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            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/allergies-no-known-medication-allergies: section.entry[0].act.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 71
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/allergies-no-known-medication-allergies: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-allergies-no-section-information-allergies",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-allergies-no-section-information-allergies"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-allergies-not-allergic-to-peanuts",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-allergies-not-allergic-to-peanuts",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/allergies-not-allergic-to-peanuts: section.entry[0].act.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 70
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/allergies-not-allergic-to-peanuts: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/allergies-not-allergic-to-peanuts: section.entry[0].act.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 70
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/allergies-not-allergic-to-peanuts: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-care-team-narrative-only",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-care-team-narrative-only",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/CareTeamsSection#should-care-team-org"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-care-team-org: 'SHOULD contain Care Team Organizer' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/CareTeamsSection)"
            },
            "expression": [
              "Binary/care-team-narrative-only: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/CareTeamsSection#should-care-team-org"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-care-team-org: 'SHOULD contain Care Team Organizer' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/CareTeamsSection)"
            },
            "expression": [
              "Binary/care-team-narrative-only: section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-care-team-structured-entry",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-care-team-structured-entry"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-encounters-hospital-discharge-encounter-with-billable-diagnoses",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-encounters-hospital-discharge-encounter-with-billable-diagnoses",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 73
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/encounters-hospital-discharge-encounter-with-billable-diagnoses: section.entry[0].encounter.performer[0].assignedEntity.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 159
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/encounters-hospital-discharge-encounter-with-billable-diagnoses: section.entry[0].encounter.entryRelationship[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/encounters-hospital-discharge-encounter-with-billable-diagnoses: section.entry[0].encounter.entryRelationship[1].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 73
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/encounters-hospital-discharge-encounter-with-billable-diagnoses: section.entry[0].encounter.performer[0].assignedEntity.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 159
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/encounters-hospital-discharge-encounter-with-billable-diagnoses: section.entry[0].encounter.entryRelationship[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/encounters-hospital-discharge-encounter-with-billable-diagnoses: section.entry[0].encounter.entryRelationship[1].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-encounters-inpatient-encounter-discharged-to-rehab-location",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-encounters-inpatient-encounter-discharged-to-rehab-location"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-encounters-multiple-cpt-e-m-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-encounters-multiple-cpt-e-m-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.1.11.13955' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.entryRelationship[0].act.entryRelationship[0].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.entryRelationship[0].act.entryRelationship[0].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 82
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.entryRelationship[0].act.entryRelationship[1].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 82
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.entryRelationship[0].act.entryRelationship[1].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.entryRelationship[0].act.entryRelationship[2].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.entryRelationship[0].act.entryRelationship[2].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 49
              },
              {
                "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": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Act.entryRelationship:problemObservation': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/EncounterDiagnosis|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.entryRelationship[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 49
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/EncounterDiagnosis#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/EncounterDiagnosis)"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.entryRelationship[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 125
              },
              {
                "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 'urn:oid:2.16.840.1.113883.1.11.13955' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.1.11.13955' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.entryRelationship[0].act.entryRelationship[0].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.entryRelationship[0].act.entryRelationship[0].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 82
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.entryRelationship[0].act.entryRelationship[1].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 82
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.entryRelationship[0].act.entryRelationship[1].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.entryRelationship[0].act.entryRelationship[2].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.entryRelationship[0].act.entryRelationship[2].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 49
              },
              {
                "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": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Act.entryRelationship:problemObservation': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/EncounterDiagnosis|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.entryRelationship[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 49
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/EncounterDiagnosis#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/EncounterDiagnosis)"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.entryRelationship[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 125
              },
              {
                "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 'urn:oid:2.16.840.1.113883.1.11.13955' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Binary/encounters-multiple-cpt-e-m-codes: section.entry[0].encounter.code.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-encounters-outpatient-encounter-patient-disenrolled",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-encounters-outpatient-encounter-patient-disenrolled"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-encounters-outpatient-encounter-with-diagnoses",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-encounters-outpatient-encounter-with-diagnoses",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/encounters-outpatient-encounter-with-diagnoses: section.entry[0].encounter.performer[0].assignedEntity.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 58
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'Encounter1_performer_type'"
            },
            "expression": [
              "Binary/encounters-outpatient-encounter-with-diagnoses: section.entry[0].encounter.performer[0].assignedEntity.code.originalText.reference.value"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/encounters-outpatient-encounter-with-diagnoses: section.entry[0].encounter.performer[0].assignedEntity.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 58
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'Encounter1_performer_type'"
            },
            "expression": [
              "Binary/encounters-outpatient-encounter-with-diagnoses: section.entry[0].encounter.performer[0].assignedEntity.code.originalText.reference.value"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-family-history-generic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-family-history-generic"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-family-history-two-individuals-same-relationship-to-the-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-family-history-two-individuals-same-relationship-to-the-patient"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-family-history-normal-family-history-father-deceased-mother-aliv",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-family-history-normal-family-history-father-deceased-mother-aliv"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-functional-status-disability-status-acs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-functional-status-disability-status-acs"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-functional-status-functional-assessment-glasgow-coma",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-functional-status-functional-assessment-glasgow-coma"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-functional-status-functional-impairment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-functional-status-functional-impairment"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-functional-status-no-functional-impairment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-functional-status-no-functional-impairment"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-general-external-document-reference",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-general-external-document-reference",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 84
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/general-external-document-reference: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 84
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/general-external-document-reference: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-general-narrative-reference-act",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-general-narrative-reference-act",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 17
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '1.2.3.4.5.6.7.8.42' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-narrative-reference-act: section.entry[0].act.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 17
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '1.2.3.4.5.6.7.8.42' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-narrative-reference-act: section.entry[0].act.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-general-narrative-reference-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-general-narrative-reference-encounter",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 86
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '1.2.3.4.5.6.7.8.42' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-narrative-reference-encounter: section.entry[0].encounter.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 86
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '1.2.3.4.5.6.7.8.42' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-narrative-reference-encounter: section.entry[0].encounter.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-general-narrative-reference-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-general-narrative-reference-observation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 22
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '1.2.3.4.5.6.7.8.42' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-narrative-reference-observation: section.entry[0].observation.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 22
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '1.2.3.4.5.6.7.8.42' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-narrative-reference-observation: section.entry[0].observation.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-general-narrative-reference-organizer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-general-narrative-reference-organizer",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 59
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 83
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '1.2.3.4.5.6.7.8.42' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-narrative-reference-organizer: section.entry[0].organizer.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 69
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 89
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '1.2.3.4.5.6.7.8.42' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-narrative-reference-organizer: section.entry[0].organizer.component[0].observation.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 96
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 96
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_String_WS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "value should not start or finish with whitespace 'elementum '"
            },
            "expression": [
              "Binary/general-narrative-reference-organizer: section.entry[0].organizer.component[0].observation.methodCode[0].displayName"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 101
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_String_WS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "value should not start or finish with whitespace 'tincidunt '"
            },
            "expression": [
              "Binary/general-narrative-reference-organizer: section.entry[0].organizer.component[0].observation.targetSiteCode[0].displayName"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 59
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 83
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '1.2.3.4.5.6.7.8.42' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-narrative-reference-organizer: section.entry[0].organizer.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 69
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 89
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '1.2.3.4.5.6.7.8.42' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-narrative-reference-organizer: section.entry[0].organizer.component[0].observation.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 96
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 96
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_String_WS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "value should not start or finish with whitespace 'elementum '"
            },
            "expression": [
              "Binary/general-narrative-reference-organizer: section.entry[0].organizer.component[0].observation.methodCode[0].displayName"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 101
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_String_WS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "value should not start or finish with whitespace 'tincidunt '"
            },
            "expression": [
              "Binary/general-narrative-reference-organizer: section.entry[0].organizer.component[0].observation.targetSiteCode[0].displayName"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-general-narrative-reference-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-general-narrative-reference-procedure"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-general-narrative-reference-substanceadministration",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-general-narrative-reference-substanceadministration",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 43
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 105
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '1.2.3.4.5.6.7.8.42' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-narrative-reference-substanceadministration: section.entry[0].substanceAdministration.consumable.manufacturedProduct.manufacturedMaterial.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 43
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 105
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '1.2.3.4.5.6.7.8.42' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-narrative-reference-substanceadministration: section.entry[0].substanceAdministration.consumable.manufacturedProduct.manufacturedMaterial.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-general-narrative-reference-supply",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-general-narrative-reference-supply",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 17
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '1.2.3.4.5.6.7.8.42' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-narrative-reference-supply: section.entry[0].supply.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 30
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 91
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '1.2.3.4.5.6.7.8.42' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-narrative-reference-supply: section.entry[0].supply.participant[0].participantRole.playingDevice.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 17
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '1.2.3.4.5.6.7.8.42' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-narrative-reference-supply: section.entry[0].supply.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 30
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 91
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '1.2.3.4.5.6.7.8.42' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-narrative-reference-supply: section.entry[0].supply.participant[0].participantRole.playingDevice.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-general-no-section-information-problems",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-general-no-section-information-problems"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-general-share-with-patient-or-proxy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-general-share-with-patient-or-proxy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_OUT_OF_PLACE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type caption must be in a table, not a li at text/ul/li/caption"
            },
            "expression": [
              "Binary/general-share-with-patient-or-proxy: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 92
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.1.11.20457' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-share-with-patient-or-proxy: section.entry[0].organizer.component[1].observation.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 115
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.1.11.20457' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-share-with-patient-or-proxy: section.entry[0].organizer.component[2].observation.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_OUT_OF_PLACE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type caption must be in a table, not a li at text/ul/li/caption"
            },
            "expression": [
              "Binary/general-share-with-patient-or-proxy: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 92
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.1.11.20457' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-share-with-patient-or-proxy: section.entry[0].organizer.component[1].observation.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 115
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_UNKNOWN_OID"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.1.11.20457' is not known, so the code can't be validated"
            },
            "expression": [
              "Binary/general-share-with-patient-or-proxy: section.entry[0].organizer.component[2].observation.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-goals-narrative-only",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-goals-narrative-only"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-goals-sdoh-goal",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-goals-sdoh-goal",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/goals-sdoh-goal: section.entry[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/goals-sdoh-goal: section.entry[0].observation.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-header-care-team-in-transition-of-care-documents",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-header-care-team-in-transition-of-care-documents",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 43
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/header-care-team-in-transition-of-care-documents: documentationOf.serviceEvent.performer[0].assignedEntity.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 71
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/header-care-team-in-transition-of-care-documents: documentationOf.serviceEvent.performer[1].assignedEntity.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 43
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/header-care-team-in-transition-of-care-documents: documentationOf.serviceEvent.performer[0].assignedEntity.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 71
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/header-care-team-in-transition-of-care-documents: documentationOf.serviceEvent.performer[1].assignedEntity.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-header-masked-social-security-number",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-header-masked-social-security-number"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-header-multiple-patient-identifiers",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-header-multiple-patient-identifiers"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-header-patient-aliases",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-header-patient-aliases"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-header-patient-birth-name",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-header-patient-birth-name"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-header-patient-deceased",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-header-patient-deceased"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-header-patient-demographic-information",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-header-patient-demographic-information"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-header-patient-previous-name",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-header-patient-previous-name"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-header-patient-with-prior-addresses",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-header-patient-with-prior-addresses"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-header-person-name-formatting",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-header-person-name-formatting"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-health-concerns-link-to-problems-section",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-health-concerns-link-to-problems-section",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 39
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section: structuredBody.component[0].section.entry[0].act.entryRelationship[0].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 65
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "INACTIVE_CONCEPT_FOUND"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept 'NP' has a status of retired and its use should be reviewed"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section: structuredBody.component[0].section.entry[0].act.entryRelationship[1].act.code.nullFlavor"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section: structuredBody.component[0].section.entry[0].act.entryRelationship[1].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 27
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section: structuredBody.component[0].section.entry[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection#should-health-status-obs"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-health-status-obs: 'SHOULD contain Health Status Observation' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section: structuredBody.component[0].section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 113
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section: structuredBody.component[1].section.entry[0].act.entryRelationship[0].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 99
              },
              {
                "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": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Act.entryRelationship:problem': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section: structuredBody.component[1].section.entry[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 99
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section: structuredBody.component[1].section.entry[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 39
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section: structuredBody.component[0].section.entry[0].act.entryRelationship[0].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 65
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "INACTIVE_CONCEPT_FOUND"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept 'NP' has a status of retired and its use should be reviewed"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section: structuredBody.component[0].section.entry[0].act.entryRelationship[1].act.code.nullFlavor"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section: structuredBody.component[0].section.entry[0].act.entryRelationship[1].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 27
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section: structuredBody.component[0].section.entry[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection#should-health-status-obs"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-health-status-obs: 'SHOULD contain Health Status Observation' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section: structuredBody.component[0].section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 113
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section: structuredBody.component[1].section.entry[0].act.entryRelationship[0].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 99
              },
              {
                "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": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Act.entryRelationship:problem': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section: structuredBody.component[1].section.entry[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 99
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section: structuredBody.component[1].section.entry[0].act"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-health-concerns-link-to-problems-section-with-linkhtml",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-health-concerns-link-to-problems-section-with-linkhtml",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 45
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section-with-linkhtml: structuredBody.component[0].section.entry[0].act.entryRelationship[0].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 75
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "INACTIVE_CONCEPT_FOUND"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept 'NP' has a status of retired and its use should be reviewed"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section-with-linkhtml: structuredBody.component[0].section.entry[0].act.entryRelationship[1].act.code.nullFlavor"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 70
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section-with-linkhtml: structuredBody.component[0].section.entry[0].act.entryRelationship[1].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 30
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section-with-linkhtml: structuredBody.component[0].section.entry[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection#should-health-status-obs"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-health-status-obs: 'SHOULD contain Health Status Observation' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section-with-linkhtml: structuredBody.component[0].section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 129
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section-with-linkhtml: structuredBody.component[1].section.entry[0].act.entryRelationship[0].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 112
              },
              {
                "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": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Act.entryRelationship:problem': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section-with-linkhtml: structuredBody.component[1].section.entry[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 112
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section-with-linkhtml: structuredBody.component[1].section.entry[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 45
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section-with-linkhtml: structuredBody.component[0].section.entry[0].act.entryRelationship[0].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 75
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "INACTIVE_CONCEPT_FOUND"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept 'NP' has a status of retired and its use should be reviewed"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section-with-linkhtml: structuredBody.component[0].section.entry[0].act.entryRelationship[1].act.code.nullFlavor"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 70
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section-with-linkhtml: structuredBody.component[0].section.entry[0].act.entryRelationship[1].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 30
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section-with-linkhtml: structuredBody.component[0].section.entry[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection#should-health-status-obs"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-health-status-obs: 'SHOULD contain Health Status Observation' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section-with-linkhtml: structuredBody.component[0].section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 129
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section-with-linkhtml: structuredBody.component[1].section.entry[0].act.entryRelationship[0].observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 112
              },
              {
                "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": "Validation_VAL_Profile_Minimum_SLICE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Slice 'Act.entryRelationship:problem': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct|4.0.0). Note that other slices are allowed in addition to this required slice"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section-with-linkhtml: structuredBody.component[1].section.entry[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 112
              },
              {
                "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": "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct)"
            },
            "expression": [
              "Binary/health-concerns-link-to-problems-section-with-linkhtml: structuredBody.component[1].section.entry[0].act"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-health-concerns-narrative-only",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-health-concerns-narrative-only",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection#should-health-status-obs"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-health-status-obs: 'SHOULD contain Health Status Observation' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection)"
            },
            "expression": [
              "Binary/health-concerns-narrative-only: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection#should-health-status-obs"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-health-status-obs: 'SHOULD contain Health Status Observation' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection)"
            },
            "expression": [
              "Binary/health-concerns-narrative-only: section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-health-concerns-no-known-health-concerns",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-health-concerns-no-known-health-concerns",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 88
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/health-concerns-no-known-health-concerns: section.entry[0].act.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection#should-health-status-obs"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-health-status-obs: 'SHOULD contain Health Status Observation' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection)"
            },
            "expression": [
              "Binary/health-concerns-no-known-health-concerns: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 88
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/health-concerns-no-known-health-concerns: section.entry[0].act.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection#should-health-status-obs"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-health-status-obs: 'SHOULD contain Health Status Observation' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection)"
            },
            "expression": [
              "Binary/health-concerns-no-known-health-concerns: section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-immunizations-immunization-not-given-patient-refused",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-immunizations-immunization-not-given-patient-refused"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-immunizations-influenza-vaccination",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-immunizations-influenza-vaccination",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 97
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/immunizations-influenza-vaccination: section.entry[0].substanceAdministration.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 97
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/immunizations-influenza-vaccination: section.entry[0].substanceAdministration.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-immunizations-influenza-vaccination-patient-reported",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-immunizations-influenza-vaccination-patient-reported",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 73
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/immunizations-influenza-vaccination-patient-reported: section.entry[0].substanceAdministration.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 73
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/immunizations-influenza-vaccination-patient-reported: section.entry[0].substanceAdministration.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-immunizations-influenza-vaccination-with-ndc",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-immunizations-influenza-vaccination-with-ndc",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 99
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/immunizations-influenza-vaccination-with-ndc: section.entry[0].substanceAdministration.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 99
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/immunizations-influenza-vaccination-with-ndc: section.entry[0].substanceAdministration.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-immunizations-no-section-information-immunizations",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-immunizations-no-section-information-immunizations"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-immunizations-unknown-immunization-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-immunizations-unknown-immunization-status"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-interventions-intervention-counseling",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-interventions-intervention-counseling",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ActivitiesSection#should-planned-intervention-act"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-planned-intervention-act: 'SHOULD contain Planned Intervention Act' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ActivitiesSection)"
            },
            "expression": [
              "Binary/interventions-intervention-counseling: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ActivitiesSection#should-planned-intervention-act"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-planned-intervention-act: 'SHOULD contain Planned Intervention Act' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ActivitiesSection)"
            },
            "expression": [
              "Binary/interventions-intervention-counseling: section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-medical-equipment-implant-udi-organizer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-medical-equipment-implant-udi-organizer",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 117
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection#should-non-med-supply"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-non-med-supply: 'SHOULD contain Non-Medicinal Supply Activity' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection)"
            },
            "expression": [
              "Binary/medical-equipment-implant-udi-organizer: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 117
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection#should-non-med-supply"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-non-med-supply: 'SHOULD contain Non-Medicinal Supply Activity' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection)"
            },
            "expression": [
              "Binary/medical-equipment-implant-udi-organizer: section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-medical-equipment-implant-udi-unknown",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-medical-equipment-implant-udi-unknown",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection#should-non-med-supply"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-non-med-supply: 'SHOULD contain Non-Medicinal Supply Activity' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection)"
            },
            "expression": [
              "Binary/medical-equipment-implant-udi-unknown: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection#should-procedure-act-procedure"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-procedure-act-procedure: 'SHOULD contain Procedure Activity Procedure' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection)"
            },
            "expression": [
              "Binary/medical-equipment-implant-udi-unknown: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection#should-non-med-supply"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-non-med-supply: 'SHOULD contain Non-Medicinal Supply Activity' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection)"
            },
            "expression": [
              "Binary/medical-equipment-implant-udi-unknown: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection#should-procedure-act-procedure"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-procedure-act-procedure: 'SHOULD contain Procedure Activity Procedure' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection)"
            },
            "expression": [
              "Binary/medical-equipment-implant-udi-unknown: section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-medical-equipment-implant-without-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-medical-equipment-implant-without-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection#should-non-med-supply"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-non-med-supply: 'SHOULD contain Non-Medicinal Supply Activity' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection)"
            },
            "expression": [
              "Binary/medical-equipment-implant-without-procedure: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection#should-non-med-supply"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-non-med-supply: 'SHOULD contain Non-Medicinal Supply Activity' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection)"
            },
            "expression": [
              "Binary/medical-equipment-implant-without-procedure: section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-medical-equipment-multiple-implants",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-medical-equipment-multiple-implants",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection#should-non-med-supply"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-non-med-supply: 'SHOULD contain Non-Medicinal Supply Activity' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection)"
            },
            "expression": [
              "Binary/medical-equipment-multiple-implants: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection#should-non-med-supply"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-non-med-supply: 'SHOULD contain Non-Medicinal Supply Activity' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection)"
            },
            "expression": [
              "Binary/medical-equipment-multiple-implants: section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-medical-equipment-no-implanted-devices",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-medical-equipment-no-implanted-devices",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection#should-non-med-supply"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-non-med-supply: 'SHOULD contain Non-Medicinal Supply Activity' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection)"
            },
            "expression": [
              "Binary/medical-equipment-no-implanted-devices: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection#should-non-med-supply"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-non-med-supply: 'SHOULD contain Non-Medicinal Supply Activity' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection)"
            },
            "expression": [
              "Binary/medical-equipment-no-implanted-devices: section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-medical-equipment-non-medicinal-supply-cane-and-eyeglasses",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-medical-equipment-non-medicinal-supply-cane-and-eyeglasses",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection#should-procedure-act-procedure"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-procedure-act-procedure: 'SHOULD contain Procedure Activity Procedure' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection)"
            },
            "expression": [
              "Binary/medical-equipment-non-medicinal-supply-cane-and-eyeglasses: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection#should-procedure-act-procedure"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-procedure-act-procedure: 'SHOULD contain Procedure Activity Procedure' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/MedicalEquipmentSection)"
            },
            "expression": [
              "Binary/medical-equipment-non-medicinal-supply-cane-and-eyeglasses: section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-medications-drug-mixture",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-medications-drug-mixture",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 56
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 139
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Undefined element 'formCode' at /v3:section/v3:entry/v3:substanceAdministration/v3:consumable/v3:manufacturedProduct/v3:manufacturedMaterial"
            },
            "expression": [
              "Binary/medications-drug-mixture: /v3:section/v3:entry/v3:substanceAdministration/v3:consumable/v3:manufacturedProduct/v3:manufacturedMaterial"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 65
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Undefined element 'ingredient' at /v3:section/v3:entry/v3:substanceAdministration/v3:consumable/v3:manufacturedProduct/v3:manufacturedMaterial"
            },
            "expression": [
              "Binary/medications-drug-mixture: /v3:section/v3:entry/v3:substanceAdministration/v3:consumable/v3:manufacturedProduct/v3:manufacturedMaterial"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 83
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Undefined element 'ingredient' at /v3:section/v3:entry/v3:substanceAdministration/v3:consumable/v3:manufacturedProduct/v3:manufacturedMaterial"
            },
            "expression": [
              "Binary/medications-drug-mixture: /v3:section/v3:entry/v3:substanceAdministration/v3:consumable/v3:manufacturedProduct/v3:manufacturedMaterial"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 131
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Undefined element 'ingredient' at /v3:section/v3:entry/v3:substanceAdministration/v3:consumable/v3:manufacturedProduct/v3:manufacturedMaterial"
            },
            "expression": [
              "Binary/medications-drug-mixture: /v3:section/v3:entry/v3:substanceAdministration/v3:consumable/v3:manufacturedProduct/v3:manufacturedMaterial"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 56
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 139
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Undefined element 'formCode' at /v3:section/v3:entry/v3:substanceAdministration/v3:consumable/v3:manufacturedProduct/v3:manufacturedMaterial"
            },
            "expression": [
              "Binary/medications-drug-mixture: /v3:section/v3:entry/v3:substanceAdministration/v3:consumable/v3:manufacturedProduct/v3:manufacturedMaterial"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 65
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Undefined element 'ingredient' at /v3:section/v3:entry/v3:substanceAdministration/v3:consumable/v3:manufacturedProduct/v3:manufacturedMaterial"
            },
            "expression": [
              "Binary/medications-drug-mixture: /v3:section/v3:entry/v3:substanceAdministration/v3:consumable/v3:manufacturedProduct/v3:manufacturedMaterial"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 83
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Undefined element 'ingredient' at /v3:section/v3:entry/v3:substanceAdministration/v3:consumable/v3:manufacturedProduct/v3:manufacturedMaterial"
            },
            "expression": [
              "Binary/medications-drug-mixture: /v3:section/v3:entry/v3:substanceAdministration/v3:consumable/v3:manufacturedProduct/v3:manufacturedMaterial"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 131
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Undefined element 'ingredient' at /v3:section/v3:entry/v3:substanceAdministration/v3:consumable/v3:manufacturedProduct/v3:manufacturedMaterial"
            },
            "expression": [
              "Binary/medications-drug-mixture: /v3:section/v3:entry/v3:substanceAdministration/v3:consumable/v3:manufacturedProduct/v3:manufacturedMaterial"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-medications-free-text-medication-sig",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-medications-free-text-medication-sig"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-medications-med-relative-dose-iv-drug",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-medications-med-relative-dose-iv-drug"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-medications-med-at-bedtime",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-medications-med-at-bedtime"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-medications-med-oral-qid-with-prn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-medications-med-oral-qid-with-prn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/medications-med-oral-qid-with-prn: section.entry[0].substanceAdministration.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/medications-med-oral-qid-with-prn: section.entry[0].substanceAdministration.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-medications-med-oral-with-indications-and-instructions",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-medications-med-oral-with-indications-and-instructions"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-medications-medication-refused",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-medications-medication-refused",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 70
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/medications-medication-refused: section.entry[0].substanceAdministration.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 70
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/medications-medication-refused: section.entry[0].substanceAdministration.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-medications-med-every-4-6-hours",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-medications-med-every-4-6-hours",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 89
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/medications-med-every-4-6-hours: section.entry[0].substanceAdministration.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 89
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/medications-med-every-4-6-hours: section.entry[0].substanceAdministration.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-medications-no-medications",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-medications-no-medications",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 46
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/medications-no-medications: section.entry[0].substanceAdministration.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 46
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/medications-no-medications: section.entry[0].substanceAdministration.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-medications-single-administration-of-medication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-medications-single-administration-of-medication",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 72
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/medications-single-administration-of-medication: section.entry[0].substanceAdministration.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 72
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/medications-single-administration-of-medication: section.entry[0].substanceAdministration.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-mental-status-patient-health-questionnaire",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-mental-status-patient-health-questionnaire"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-mental-status-memory-impairment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-mental-status-memory-impairment"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-mental-status-no-cognitive-impairment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-mental-status-no-cognitive-impairment"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-notes-discharge-note-in-hospital-course",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-notes-discharge-note-in-hospital-course",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_OUT_OF_PLACE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type caption must be in a table, not a li at text/ul/li/caption"
            },
            "expression": [
              "Binary/notes-discharge-note-in-hospital-course: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 23
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Hospital course Narrative' for http://loinc.org#8648-8. Valid display is one of 3 choices: 'Hospital course note' (en-US), 'Hospital course note' (en-US) or 'Hospital course note' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "Binary/notes-discharge-note-in-hospital-course: section.entry[0].act.code.translation[0].coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_OUT_OF_PLACE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type caption must be in a table, not a li at text/ul/li/caption"
            },
            "expression": [
              "Binary/notes-discharge-note-in-hospital-course: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 23
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Hospital course Narrative' for http://loinc.org#8648-8. Valid display is one of 3 choices: 'Hospital course note' (en-US), 'Hospital course note' (en-US) or 'Hospital course note' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "Binary/notes-discharge-note-in-hospital-course: section.entry[0].act.code.translation[0].coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-notes-note-directly-attached-to-a-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-notes-note-directly-attached-to-a-procedure"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-notes-rtf-note",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-notes-rtf-note",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_OUT_OF_PLACE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type caption must be in a table, not a li at text/ul/li/caption"
            },
            "expression": [
              "Binary/notes-rtf-note: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 26
              },
              {
                "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": "http://hl7.org/cda/stds/core/StructureDefinition/ED#ed-base64"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: ed-base64: 'If @representation='B64', then xmlText SHALL be a base64binary string. ((representation.empty() or representation != 'B64') or xmlText.empty() or xmlText.matches('^(?:[A-Za-z0-9+//]{4})*(?:[A-Za-z0-9+//]{2}==|[A-Za-z0-9+//]{3}=)?[%content%]#x27;))'"
            },
            "expression": [
              "Binary/notes-rtf-note: section.entry[0].act.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_OUT_OF_PLACE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type caption must be in a table, not a li at text/ul/li/caption"
            },
            "expression": [
              "Binary/notes-rtf-note: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 26
              },
              {
                "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": "http://hl7.org/cda/stds/core/StructureDefinition/ED#ed-base64"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: ed-base64: 'If @representation='B64', then xmlText SHALL be a base64binary string. ((representation.empty() or representation != 'B64') or xmlText.empty() or xmlText.matches('^(?:[A-Za-z0-9+//]{4})*(?:[A-Za-z0-9+//]{2}==|[A-Za-z0-9+//]{3}=)?[%content%]#x27;))'"
            },
            "expression": [
              "Binary/notes-rtf-note: section.entry[0].act.text"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-notes-single-consultation-note",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-notes-single-consultation-note"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-plan-of-treatment-care-plan-goals-and-instructions",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-plan-of-treatment-care-plan-goals-and-instructions"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-plan-of-treatment-no-planned-tests",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-plan-of-treatment-no-planned-tests"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-plan-of-treatment-planned-ekg",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-plan-of-treatment-planned-ekg"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-plan-of-treatment-planned-encounter-referral",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-plan-of-treatment-planned-encounter-referral",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 115
              },
              {
                "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 'https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Binary/plan-of-treatment-planned-encounter-referral: structuredBody.component[1].section.entry[0].encounter.participant[0].participantRole.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 55
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/PlannedEncounter#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/PlannedEncounter)"
            },
            "expression": [
              "Binary/plan-of-treatment-planned-encounter-referral: structuredBody.component[1].section.entry[0].encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 115
              },
              {
                "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 'https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Binary/plan-of-treatment-planned-encounter-referral: structuredBody.component[1].section.entry[0].encounter.participant[0].participantRole.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 55
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/PlannedEncounter#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/PlannedEncounter)"
            },
            "expression": [
              "Binary/plan-of-treatment-planned-encounter-referral: structuredBody.component[1].section.entry[0].encounter"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-problems-active-problem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-problems-active-problem",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 68
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/problems-active-problem: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 68
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/problems-active-problem: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-problems-complete-or-resolved-problem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-problems-complete-or-resolved-problem",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 81
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/problems-complete-or-resolved-problem: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 81
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/problems-complete-or-resolved-problem: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-problems-no-known-problems",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-problems-no-known-problems",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/problems-no-known-problems: section.entry[0].act.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/problems-no-known-problems: section.entry[0].act.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-problems-patient-does-not-have-diabetes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-problems-patient-does-not-have-diabetes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 49
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 150
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/problems-patient-does-not-have-diabetes: section.entry[0].act.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 49
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 150
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/problems-patient-does-not-have-diabetes: section.entry[0].act.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-problems-pregnancy-with-week-gestation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-problems-pregnancy-with-week-gestation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 80
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/problems-pregnancy-with-week-gestation: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 80
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/problems-pregnancy-with-week-gestation: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-problems-problem-targetsitecode-qualifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-problems-problem-targetsitecode-qualifier"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-problems-problem-value-translation-qualifier-examples",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-problems-problem-value-translation-qualifier-examples",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 94
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/problems-problem-value-translation-qualifier-examples: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 94
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/problems-problem-value-translation-qualifier-examples: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-problems-sdoh-problem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-problems-sdoh-problem",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 77
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 154
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/problems-sdoh-problem: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 77
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 154
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/problems-sdoh-problem: section.entry[0].act.entryRelationship[0].observation.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-procedures-procedure-alternatives",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-procedures-procedure-alternatives",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 98
              },
              {
                "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": "_DT_Fixed_Wrong"
              }
            ],
            "severity": "error",
            "code": "value",
            "details": {
              "text": "Value is 'PRP' but is fixed to 'EVN' in the profile http://hl7.org/cda/stds/core/StructureDefinition/Organizer|2.0.1-sd#Organizer.moodCode"
            },
            "expression": [
              "Binary/procedures-procedure-alternatives: section.entry[0].procedure.entryRelationship[2].organizer.moodCode"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_INFER_CODESYSTEM"
              }
            ],
            "severity": "error",
            "code": "not-found",
            "details": {
              "text": "The System URI could not be determined for the code 'SUBST' in the ValueSet 'http://terminology.hl7.org/ValueSet/v3-ActClassProcedure|3.0.0'"
            },
            "expression": [
              "Binary/procedures-procedure-alternatives: section.entry[0].procedure.entryRelationship[2].organizer.component[0].procedure.classCode"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_16"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The value provided ('SUBST') was not found in the value set 'ActClassProcedure' (http://terminology.hl7.org/ValueSet/v3-ActClassProcedure|3.0.0), and a code is required from this value set  (error message = The System URI could not be determined for the code 'SUBST' in the ValueSet 'http://terminology.hl7.org/ValueSet/v3-ActClassProcedure|3.0.0'; The provided code '#SUBST' was not found in the value set 'http://terminology.hl7.org/ValueSet/v3-ActClassProcedure|3.0.0')"
            },
            "expression": [
              "Binary/procedures-procedure-alternatives: section.entry[0].procedure.entryRelationship[2].organizer.component[0].procedure.classCode"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 109
              },
              {
                "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": "_DT_Fixed_Wrong"
              }
            ],
            "severity": "error",
            "code": "value",
            "details": {
              "text": "Value is 'SUBST' but is fixed to 'PROC' in the profile http://hl7.org/cda/stds/core/StructureDefinition/Procedure|2.0.1-sd#Procedure.classCode"
            },
            "expression": [
              "Binary/procedures-procedure-alternatives: section.entry[0].procedure.entryRelationship[2].organizer.component[0].procedure.classCode"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 119
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_INFER_CODESYSTEM"
              }
            ],
            "severity": "error",
            "code": "not-found",
            "details": {
              "text": "The System URI could not be determined for the code 'SUBST' in the ValueSet 'http://terminology.hl7.org/ValueSet/v3-ActClassProcedure|3.0.0'"
            },
            "expression": [
              "Binary/procedures-procedure-alternatives: section.entry[0].procedure.entryRelationship[2].organizer.component[1].procedure.classCode"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 119
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_16"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The value provided ('SUBST') was not found in the value set 'ActClassProcedure' (http://terminology.hl7.org/ValueSet/v3-ActClassProcedure|3.0.0), and a code is required from this value set  (error message = The System URI could not be determined for the code 'SUBST' in the ValueSet 'http://terminology.hl7.org/ValueSet/v3-ActClassProcedure|3.0.0'; The provided code '#SUBST' was not found in the value set 'http://terminology.hl7.org/ValueSet/v3-ActClassProcedure|3.0.0')"
            },
            "expression": [
              "Binary/procedures-procedure-alternatives: section.entry[0].procedure.entryRelationship[2].organizer.component[1].procedure.classCode"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 119
              },
              {
                "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": "_DT_Fixed_Wrong"
              }
            ],
            "severity": "error",
            "code": "value",
            "details": {
              "text": "Value is 'SUBST' but is fixed to 'PROC' in the profile http://hl7.org/cda/stds/core/StructureDefinition/Procedure|2.0.1-sd#Procedure.classCode"
            },
            "expression": [
              "Binary/procedures-procedure-alternatives: section.entry[0].procedure.entryRelationship[2].organizer.component[1].procedure.classCode"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 98
              },
              {
                "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": "_DT_Fixed_Wrong"
              }
            ],
            "severity": "error",
            "code": "value",
            "details": {
              "text": "Value is 'PRP' but is fixed to 'EVN' in the profile http://hl7.org/cda/stds/core/StructureDefinition/Organizer|2.0.1-sd#Organizer.moodCode"
            },
            "expression": [
              "Binary/procedures-procedure-alternatives: section.entry[0].procedure.entryRelationship[2].organizer.moodCode"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_INFER_CODESYSTEM"
              }
            ],
            "severity": "error",
            "code": "not-found",
            "details": {
              "text": "The System URI could not be determined for the code 'SUBST' in the ValueSet 'http://terminology.hl7.org/ValueSet/v3-ActClassProcedure|3.0.0'"
            },
            "expression": [
              "Binary/procedures-procedure-alternatives: section.entry[0].procedure.entryRelationship[2].organizer.component[0].procedure.classCode"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_16"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The value provided ('SUBST') was not found in the value set 'ActClassProcedure' (http://terminology.hl7.org/ValueSet/v3-ActClassProcedure|3.0.0), and a code is required from this value set  (error message = The System URI could not be determined for the code 'SUBST' in the ValueSet 'http://terminology.hl7.org/ValueSet/v3-ActClassProcedure|3.0.0'; The provided code '#SUBST' was not found in the value set 'http://terminology.hl7.org/ValueSet/v3-ActClassProcedure|3.0.0')"
            },
            "expression": [
              "Binary/procedures-procedure-alternatives: section.entry[0].procedure.entryRelationship[2].organizer.component[0].procedure.classCode"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 109
              },
              {
                "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": "_DT_Fixed_Wrong"
              }
            ],
            "severity": "error",
            "code": "value",
            "details": {
              "text": "Value is 'SUBST' but is fixed to 'PROC' in the profile http://hl7.org/cda/stds/core/StructureDefinition/Procedure|2.0.1-sd#Procedure.classCode"
            },
            "expression": [
              "Binary/procedures-procedure-alternatives: section.entry[0].procedure.entryRelationship[2].organizer.component[0].procedure.classCode"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 119
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_INFER_CODESYSTEM"
              }
            ],
            "severity": "error",
            "code": "not-found",
            "details": {
              "text": "The System URI could not be determined for the code 'SUBST' in the ValueSet 'http://terminology.hl7.org/ValueSet/v3-ActClassProcedure|3.0.0'"
            },
            "expression": [
              "Binary/procedures-procedure-alternatives: section.entry[0].procedure.entryRelationship[2].organizer.component[1].procedure.classCode"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 119
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_16"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The value provided ('SUBST') was not found in the value set 'ActClassProcedure' (http://terminology.hl7.org/ValueSet/v3-ActClassProcedure|3.0.0), and a code is required from this value set  (error message = The System URI could not be determined for the code 'SUBST' in the ValueSet 'http://terminology.hl7.org/ValueSet/v3-ActClassProcedure|3.0.0'; The provided code '#SUBST' was not found in the value set 'http://terminology.hl7.org/ValueSet/v3-ActClassProcedure|3.0.0')"
            },
            "expression": [
              "Binary/procedures-procedure-alternatives: section.entry[0].procedure.entryRelationship[2].organizer.component[1].procedure.classCode"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 119
              },
              {
                "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": "_DT_Fixed_Wrong"
              }
            ],
            "severity": "error",
            "code": "value",
            "details": {
              "text": "Value is 'SUBST' but is fixed to 'PROC' in the profile http://hl7.org/cda/stds/core/StructureDefinition/Procedure|2.0.1-sd#Procedure.classCode"
            },
            "expression": [
              "Binary/procedures-procedure-alternatives: section.entry[0].procedure.entryRelationship[2].organizer.component[1].procedure.classCode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-procedures-procedure-refused",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-procedures-procedure-refused"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-procedures-procedure-unsuccessful",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-procedures-procedure-unsuccessful",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 70
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/procedures-procedure-unsuccessful: section.entry[0].procedure.entryRelationship[0].act.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 70
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/procedures-procedure-unsuccessful: section.entry[0].procedure.entryRelationship[0].act.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-procedures-section-act-entry",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-procedures-section-act-entry"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-procedures-section-observation-entry",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-procedures-section-observation-entry"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-procedures-section-procedure-entry",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-procedures-section-procedure-entry"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-procedures-section-procedure-entry-colonoscopy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-procedures-section-procedure-entry-colonoscopy"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-quality-care-compliance-in-c-cda",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-quality-care-compliance-in-c-cda"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-referrals-referral-request-and-close-referral-with-a-note",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-referrals-referral-request-and-close-referral-with-a-note",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 59
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/referrals-referral-request-and-close-referral-with-a-note: structuredBody.component[0].section.entry[0].act.participant[0].participantRole.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 39
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ReferralAct#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ReferralAct)"
            },
            "expression": [
              "Binary/referrals-referral-request-and-close-referral-with-a-note: structuredBody.component[0].section.entry[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ActivitiesSection#should-intervention-act"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-intervention-act: 'SHOULD contain Intervention Act' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ActivitiesSection)"
            },
            "expression": [
              "Binary/referrals-referral-request-and-close-referral-with-a-note: structuredBody.component[0].section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ActivitiesSection#should-planned-intervention-act"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-planned-intervention-act: 'SHOULD contain Planned Intervention Act' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ActivitiesSection)"
            },
            "expression": [
              "Binary/referrals-referral-request-and-close-referral-with-a-note: structuredBody.component[0].section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/referrals-referral-request-and-close-referral-with-a-note: structuredBody.component[1].section.entry[0].act.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 59
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/referrals-referral-request-and-close-referral-with-a-note: structuredBody.component[0].section.entry[0].act.participant[0].participantRole.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 39
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ReferralAct#should-author"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-author: 'SHOULD contain author' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ReferralAct)"
            },
            "expression": [
              "Binary/referrals-referral-request-and-close-referral-with-a-note: structuredBody.component[0].section.entry[0].act"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ActivitiesSection#should-intervention-act"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-intervention-act: 'SHOULD contain Intervention Act' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ActivitiesSection)"
            },
            "expression": [
              "Binary/referrals-referral-request-and-close-referral-with-a-note: structuredBody.component[0].section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/ActivitiesSection#should-planned-intervention-act"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-planned-intervention-act: 'SHOULD contain Planned Intervention Act' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/ActivitiesSection)"
            },
            "expression": [
              "Binary/referrals-referral-request-and-close-referral-with-a-note: structuredBody.component[0].section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/referrals-referral-request-and-close-referral-with-a-note: structuredBody.component[1].section.entry[0].act.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-results-covid-positive",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-results-covid-positive"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-results-panel-with-coded-values-of-negative-positive",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-results-panel-with-coded-values-of-negative-positive"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-results-with-multiple-reference-ranges",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-results-with-multiple-reference-ranges",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 68
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/results-with-multiple-reference-ranges: section.entry[0].organizer.component[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 68
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/results-with-multiple-reference-ranges: section.entry[0].organizer.component[0].observation.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-results-with-an-unstructured-string-as-value-urine-color",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-results-with-an-unstructured-string-as-value-urine-color"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-results-with-greater-than-a-specified-value",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-results-with-greater-than-a-specified-value"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-results-with-lab-location",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-results-with-lab-location"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-results-with-non-numeric-physical-quantity-and-unit",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-results-with-non-numeric-physical-quantity-and-unit"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-results-radiology-with-image-narrative",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-results-radiology-with-image-narrative",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/results-radiology-with-image-narrative: section.entry[0].organizer.component[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/results-radiology-with-image-narrative: section.entry[0].organizer.component[0].observation.author[0].assignedAuthor.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-results-unit-non-ucum",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-results-unit-non-ucum"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-results-of-basic-metabolic-panel-and-troponin",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-results-of-basic-metabolic-panel-and-troponin"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-results-of-co2-test",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-results-of-co2-test"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-results-panel-with-pending-component",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-results-panel-with-pending-component"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-results-with-less-than-specific-value",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-results-with-less-than-specific-value"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-results-with-translation-unit",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-results-with-translation-unit"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-social-history-birth-sex",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-social-history-birth-sex",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 122
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/BirthSexObservation#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/BirthSexObservation)"
            },
            "expression": [
              "Binary/social-history-birth-sex: observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 122
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/BirthSexObservation#should-text-ref-value"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-text-ref-value: 'SHOULD contain text/reference/@value' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/BirthSexObservation)"
            },
            "expression": [
              "Binary/social-history-birth-sex: observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-social-history-current-smoking-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-social-history-current-smoking-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type ul at text/ul cannot have the following children: caption"
            },
            "expression": [
              "Binary/social-history-current-smoking-status: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_OUT_OF_PLACE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type caption must be in a table, not a ul at text/ul/caption"
            },
            "expression": [
              "Binary/social-history-current-smoking-status: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/social-history-current-smoking-status: section.entry[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 80
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/social-history-current-smoking-status: section.entry[1].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection#should-smoking-status"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-smoking-status: 'SHOULD contain Smoking Status' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection)"
            },
            "expression": [
              "Binary/social-history-current-smoking-status: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type ul at text/ul cannot have the following children: caption"
            },
            "expression": [
              "Binary/social-history-current-smoking-status: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_OUT_OF_PLACE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type caption must be in a table, not a ul at text/ul/caption"
            },
            "expression": [
              "Binary/social-history-current-smoking-status: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/social-history-current-smoking-status: section.entry[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 80
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/social-history-current-smoking-status: section.entry[1].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection#should-smoking-status"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-smoking-status: 'SHOULD contain Smoking Status' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection)"
            },
            "expression": [
              "Binary/social-history-current-smoking-status: section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-social-history-electronic-cigarette",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-social-history-electronic-cigarette",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection#should-smoking-status"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-smoking-status: 'SHOULD contain Smoking Status' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection)"
            },
            "expression": [
              "Binary/social-history-electronic-cigarette: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection#should-smoking-status"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-smoking-status: 'SHOULD contain Smoking Status' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection)"
            },
            "expression": [
              "Binary/social-history-electronic-cigarette: section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-social-history-former-smoking-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-social-history-former-smoking-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type ul at text/ul cannot have the following children: caption"
            },
            "expression": [
              "Binary/social-history-former-smoking-status: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_OUT_OF_PLACE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type caption must be in a table, not a ul at text/ul/caption"
            },
            "expression": [
              "Binary/social-history-former-smoking-status: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 43
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/social-history-former-smoking-status: section.entry[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 81
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/social-history-former-smoking-status: section.entry[1].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection#should-smoking-status"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-smoking-status: 'SHOULD contain Smoking Status' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection)"
            },
            "expression": [
              "Binary/social-history-former-smoking-status: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type ul at text/ul cannot have the following children: caption"
            },
            "expression": [
              "Binary/social-history-former-smoking-status: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_OUT_OF_PLACE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type caption must be in a table, not a ul at text/ul/caption"
            },
            "expression": [
              "Binary/social-history-former-smoking-status: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 43
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/social-history-former-smoking-status: section.entry[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 81
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/social-history-former-smoking-status: section.entry[1].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection#should-smoking-status"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-smoking-status: 'SHOULD contain Smoking Status' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection)"
            },
            "expression": [
              "Binary/social-history-former-smoking-status: section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-social-history-never-smoking-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-social-history-never-smoking-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type ul at text/ul cannot have the following children: caption"
            },
            "expression": [
              "Binary/social-history-never-smoking-status: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_OUT_OF_PLACE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type caption must be in a table, not a ul at text/ul/caption"
            },
            "expression": [
              "Binary/social-history-never-smoking-status: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/social-history-never-smoking-status: section.entry[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection#should-smoking-status"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-smoking-status: 'SHOULD contain Smoking Status' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection)"
            },
            "expression": [
              "Binary/social-history-never-smoking-status: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type ul at text/ul cannot have the following children: caption"
            },
            "expression": [
              "Binary/social-history-never-smoking-status: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_OUT_OF_PLACE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type caption must be in a table, not a ul at text/ul/caption"
            },
            "expression": [
              "Binary/social-history-never-smoking-status: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/social-history-never-smoking-status: section.entry[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection#should-smoking-status"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-smoking-status: 'SHOULD contain Smoking Status' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection)"
            },
            "expression": [
              "Binary/social-history-never-smoking-status: section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-social-history-not-pregnant",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-social-history-not-pregnant",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection#should-smoking-status"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-smoking-status: 'SHOULD contain Smoking Status' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection)"
            },
            "expression": [
              "Binary/social-history-not-pregnant: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection#should-smoking-status"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-smoking-status: 'SHOULD contain Smoking Status' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection)"
            },
            "expression": [
              "Binary/social-history-not-pregnant: section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-social-history-sexual-orientation-gender-identity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-social-history-sexual-orientation-gender-identity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 76
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/social-history-sexual-orientation-gender-identity: section.entry[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 122
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/social-history-sexual-orientation-gender-identity: section.entry[1].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection#should-smoking-status"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-smoking-status: 'SHOULD contain Smoking Status' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection)"
            },
            "expression": [
              "Binary/social-history-sexual-orientation-gender-identity: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 76
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/social-history-sexual-orientation-gender-identity: section.entry[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 122
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/social-history-sexual-orientation-gender-identity: section.entry[1].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection#should-smoking-status"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-smoking-status: 'SHOULD contain Smoking Status' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection)"
            },
            "expression": [
              "Binary/social-history-sexual-orientation-gender-identity: section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-social-history-unknown-smoking-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-social-history-unknown-smoking-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type ul at text/ul cannot have the following children: caption"
            },
            "expression": [
              "Binary/social-history-unknown-smoking-status: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_OUT_OF_PLACE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type caption must be in a table, not a ul at text/ul/caption"
            },
            "expression": [
              "Binary/social-history-unknown-smoking-status: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/social-history-unknown-smoking-status: section.entry[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection#should-smoking-status"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-smoking-status: 'SHOULD contain Smoking Status' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection)"
            },
            "expression": [
              "Binary/social-history-unknown-smoking-status: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_ILLEGAL_CHILDREN"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type ul at text/ul cannot have the following children: caption"
            },
            "expression": [
              "Binary/social-history-unknown-smoking-status: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_OUT_OF_PLACE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Elements of type caption must be in a table, not a ul at text/ul/caption"
            },
            "expression": [
              "Binary/social-history-unknown-smoking-status: section.text"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_OID_MULTIPLE_MATCHES_CHOSEN"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The OID '2.16.840.1.113883.6.101' matches multiple resources (http://nucc.org/provider-taxonomy|4.0.0(active), http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes|3.0.1(active)); http://nucc.org/provider-taxonomy was chosen as the most appropriate"
            },
            "expression": [
              "Binary/social-history-unknown-smoking-status: section.entry[0].observation.author[0].assignedAuthor.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection#should-smoking-status"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-smoking-status: 'SHOULD contain Smoking Status' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection)"
            },
            "expression": [
              "Binary/social-history-unknown-smoking-status: section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-social-history-unknown-if-pregnant",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-social-history-unknown-if-pregnant",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection#should-smoking-status"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-smoking-status: 'SHOULD contain Smoking Status' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection)"
            },
            "expression": [
              "Binary/social-history-unknown-if-pregnant: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection#should-smoking-status"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-smoking-status: 'SHOULD contain Smoking Status' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection)"
            },
            "expression": [
              "Binary/social-history-unknown-if-pregnant: section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-social-history-we-care-assessment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-social-history-we-care-assessment",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection#should-smoking-status"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-smoking-status: 'SHOULD contain Smoking Status' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection)"
            },
            "expression": [
              "Binary/social-history-we-care-assessment: section"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection#should-smoking-status"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: should-smoking-status: 'SHOULD contain Smoking Status' (defined in http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistorySection)"
            },
            "expression": [
              "Binary/social-history-we-care-assessment: section"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-vital-signs-growth-charts-examples",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-vital-signs-growth-charts-examples"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-vital-signs-heart-rate-rhythm",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-vital-signs-heart-rate-rhythm"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-vital-signs-panel-of-vital-signs-oxygen-concentration-included",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-vital-signs-panel-of-vital-signs-oxygen-concentration-included"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-vital-signs-panel-of-vital-signs-in-metric-units",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-vital-signs-panel-of-vital-signs-in-metric-units"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/hl7.cda.examples/OperationOutcome/Binary-vital-signs-panel-of-vital-signs-in-mixed-metric-imperial-units",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Binary-vital-signs-panel-of-vital-signs-in-mixed-metric-imperial-units"
      }
    }
  ]
}