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Packagehl7.cda.us.eyecare
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR5

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Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2024-02-07T21:20:58.755+00:00",
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    {
      "fullUrl": "http://hl7.org/cda/us/eyecare/OperationOutcome/ImplementationGuide-hl7.cda.us.eyecare",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.cda.us.eyecare"
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    },
    {
      "fullUrl": "http://hl7.org/cda/us/eyecare/OperationOutcome/CodeSystem-DryEyeQuestionnaireCodes",
      "resource": {
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        "id": "CodeSystem-DryEyeQuestionnaireCodes"
      }
    },
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            ],
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85844
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/DiagnosticAssessmentEyeTestOrganizer: StructureDefinition.snapshot.element[123]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 94846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/DiagnosticAssessmentEyeTestOrganizer: StructureDefinition.snapshot.element[143]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 96519
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/DiagnosticAssessmentEyeTestOrganizer: StructureDefinition.snapshot.element[147]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/us/eyecare/OperationOutcome/StructureDefinition-EyecareExamSection",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-EyecareExamSection",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22546
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/EyecareExamSection: StructureDefinition.snapshot.element[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26901
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-20: 'The first component of the path should be UpperCamelCase.  Additional components (following a '.') should be lowerCamelCase.  If this syntax is not adhered to, code generation tools may be broken. Logical models may be less concerned about this implication.' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition)"
            },
            "expression": [
              "StructureDefinition/EyecareExamSection: StructureDefinition.snapshot.element[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27286
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/EyecareExamSection: StructureDefinition.snapshot.element[17]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27648
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/EyecareExamSection: StructureDefinition.snapshot.element[18]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38926
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/EyecareExamSection: StructureDefinition.snapshot.element[47]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 40523
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/EyecareExamSection: StructureDefinition.snapshot.element[51]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47765
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/EyecareExamSection: StructureDefinition.snapshot.element[68]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/EyecareExamSection: StructureDefinition.snapshot.element[72]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56703
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/EyecareExamSection: StructureDefinition.snapshot.element[89]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57907
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/EyecareExamSection: StructureDefinition.snapshot.element[92]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58246
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/EyecareExamSection: StructureDefinition.snapshot.element[93]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 62415
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/EyecareExamSection: StructureDefinition.snapshot.element[101]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-20: 'The first component of the path should be UpperCamelCase.  Additional components (following a '.') should be lowerCamelCase.  If this syntax is not adhered to, code generation tools may be broken. Logical models may be less concerned about this implication.' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition)"
            },
            "expression": [
              "StructureDefinition/EyecareExamSection: StructureDefinition.snapshot.element[104]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63974
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/EyecareExamSection: StructureDefinition.snapshot.element[105]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64372
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/EyecareExamSection: StructureDefinition.snapshot.element[106]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71478
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/EyecareExamSection: StructureDefinition.snapshot.element[124]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 72790
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/EyecareExamSection: StructureDefinition.snapshot.element[127]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 73165
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/EyecareExamSection: StructureDefinition.snapshot.element[128]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/us/eyecare/OperationOutcome/StructureDefinition-PosteriorSegmentObservation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-PosteriorSegmentObservation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31439
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentObservation: StructureDefinition.snapshot.element[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentObservation: StructureDefinition.snapshot.element[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36759
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentObservation: StructureDefinition.snapshot.element[17]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80364
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentObservation: StructureDefinition.snapshot.element[109]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 81682
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentObservation: StructureDefinition.snapshot.element[112]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 86206
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentObservation: StructureDefinition.snapshot.element[120]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 88075
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentObservation: StructureDefinition.snapshot.element[124]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 96130
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentObservation: StructureDefinition.snapshot.element[136]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 97660
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentObservation: StructureDefinition.snapshot.element[139]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/us/eyecare/OperationOutcome/StructureDefinition-PosteriorSegmentOrganizer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-PosteriorSegmentOrganizer",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23951
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentOrganizer: StructureDefinition.snapshot.element[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29181
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
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            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentOrganizer: StructureDefinition.snapshot.element[17]"
            ]
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
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                "valueInteger": 56476
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              {
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                "valueString": "InstanceValidator"
              }
            ],
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            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentOrganizer: StructureDefinition.snapshot.element[70]"
            ]
          },
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
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            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentOrganizer: StructureDefinition.snapshot.element[73]"
            ]
          },
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 62164
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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            ],
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            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentOrganizer: StructureDefinition.snapshot.element[81]"
            ]
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "valueInteger": 63493
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            ],
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            "code": "invariant",
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              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentOrganizer: StructureDefinition.snapshot.element[84]"
            ]
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentOrganizer: StructureDefinition.snapshot.element[94]"
            ]
          },
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 70977
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            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentOrganizer: StructureDefinition.snapshot.element[98]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80009
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
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            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentOrganizer: StructureDefinition.snapshot.element[119]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 81670
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
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            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentOrganizer: StructureDefinition.snapshot.element[123]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90661
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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            ],
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            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentOrganizer: StructureDefinition.snapshot.element[143]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 92334
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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            ],
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            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/PosteriorSegmentOrganizer: StructureDefinition.snapshot.element[147]"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/cda/us/eyecare/OperationOutcome/StructureDefinition-RefractionObservation",
      "resource": {
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        "id": "StructureDefinition-RefractionObservation",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/RefractionObservation: StructureDefinition.snapshot.element[7]"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/RefractionObservation: StructureDefinition.snapshot.element[17]"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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            },
            "expression": [
              "StructureDefinition/RefractionObservation: StructureDefinition.snapshot.element[120]"
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            },
            "expression": [
              "StructureDefinition/RefractionObservation: StructureDefinition.snapshot.element[123]"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/RefractionObservation: StructureDefinition.snapshot.element[131]"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/RefractionObservation: StructureDefinition.snapshot.element[135]"
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/RefractionObservation: StructureDefinition.snapshot.element[147]"
            ]
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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            ],
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            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/RefractionObservation: StructureDefinition.snapshot.element[150]"
            ]
          }
        ]
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      "fullUrl": "http://hl7.org/cda/us/eyecare/OperationOutcome/StructureDefinition-RefractionOrganizer",
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          {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/RefractionOrganizer: StructureDefinition.snapshot.element[17]"
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/RefractionOrganizer: StructureDefinition.snapshot.element[70]"
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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            },
            "expression": [
              "StructureDefinition/RefractionOrganizer: StructureDefinition.snapshot.element[73]"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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            },
            "expression": [
              "StructureDefinition/RefractionOrganizer: StructureDefinition.snapshot.element[81]"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/VisualAcuityTestUnitObservation: StructureDefinition.snapshot.element[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37302
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/VisualAcuityTestUnitObservation: StructureDefinition.snapshot.element[17]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/VisualAcuityTestUnitObservation: StructureDefinition.snapshot.element[98]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78422
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/VisualAcuityTestUnitObservation: StructureDefinition.snapshot.element[101]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 82946
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/VisualAcuityTestUnitObservation: StructureDefinition.snapshot.element[109]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 84815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/VisualAcuityTestUnitObservation: StructureDefinition.snapshot.element[113]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 92870
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/VisualAcuityTestUnitObservation: StructureDefinition.snapshot.element[125]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 94400
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/VisualAcuityTestUnitObservation: StructureDefinition.snapshot.element[128]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/us/eyecare/OperationOutcome/ValueSet-AidToVisionCodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-AidToVisionCodes"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/us/eyecare/OperationOutcome/ValueSet-DiagnosticAssessmentEyeTestCodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-DiagnosticAssessmentEyeTestCodes"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/us/eyecare/OperationOutcome/ValueSet-DryEyeQuestionnaireCodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-DryEyeQuestionnaireCodes"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/us/eyecare/OperationOutcome/ValueSet-EyecareTargetSiteCodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-EyecareTargetSiteCodes"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/us/eyecare/OperationOutcome/ValueSet-PosteriorSegmentObservationCodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-PosteriorSegmentObservationCodes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '24713008' is not valid in the system http://snomed.info/sct"
            },
            "expression": [
              "ValueSet/PosteriorSegmentObservationCodes: ValueSet.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1111534007' is not valid in the system http://snomed.info/sct"
            },
            "expression": [
              "ValueSet/PosteriorSegmentObservationCodes: ValueSet.compose.include[0].concept[30]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/us/eyecare/OperationOutcome/ValueSet-PosteriorSegmentOrganizerCodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-PosteriorSegmentOrganizerCodes"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/us/eyecare/OperationOutcome/ValueSet-RefractionMethodCodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-RefractionMethodCodes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '297276001' is not valid in the system http://snomed.info/sct"
            },
            "expression": [
              "ValueSet/RefractionMethodCodes: ValueSet.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '297524001' is not valid in the system http://snomed.info/sct"
            },
            "expression": [
              "ValueSet/RefractionMethodCodes: ValueSet.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '297278000' is not valid in the system http://snomed.info/sct"
            },
            "expression": [
              "ValueSet/RefractionMethodCodes: ValueSet.compose.include[0].concept[3]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/us/eyecare/OperationOutcome/ValueSet-RefractionObservationCodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-RefractionObservationCodes"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/us/eyecare/OperationOutcome/ValueSet-VisualAcuityMethodCodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-VisualAcuityMethodCodes"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/us/eyecare/OperationOutcome/ValueSet-VisualAcuityObservationCodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-VisualAcuityObservationCodes"
      }
    },
    {
      "fullUrl": "http://hl7.org/cda/us/eyecare/OperationOutcome/ValueSet-VisualAcuityOrganizerCodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-VisualAcuityOrganizerCodes"
      }
    }
  ]
}